Individual
DR. DENISE KAY BRUCKERHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1900 MATLOCK RD BLDG 6, MANSFIELD, TX 76063-4391
(817) 755-1005
(817) 755-8499
Mailing address
1900 MATLOCK RD BLDG 6, MANSFIELD, TX 76063-4391
(817) 755-1005
(817) 755-8499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M8220
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203462101
—
TX
05
—
203462102
—
TX
05
—
203462103
—
TX
05
—
203462104
—
TX
Enumeration date
02/12/2008
Last updated
12/13/2021
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