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Individual

EDUARDO D. BRUERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
L7673
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46814201
TX
01
84677X
BCBS
TX
01
P00242321
RR MEDICARE
TX
Enumeration date
09/14/2006
Last updated
07/05/2012
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