Individual
DR. BRUCE CHRISTOPHER HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
13062 US-290, #100, AUSTIN, TX 78737
(512) 362-8865
Mailing address
13062 US-290, #100, AUSTIN, TX 78737
(512) 362-8865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1132
SD
111N00000X
Chiropractor
Primary
15490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7603182
—
SD
Enumeration date
05/07/2008
Last updated
11/07/2023
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