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Individual

BRUCE PAUL MEYERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
201 OAK DR S, SUITE 207, LAKE JACKSON, TX 77566-5676
(979) 297-2477
Mailing address
201 OAK DR S, SUITE 207, LAKE JACKSON, TX 77566-5676
(979) 297-2477

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F1152
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083442601
TX
05
126190104
TX
Enumeration date
11/10/2005
Last updated
02/01/2010
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