Individual
BRUCE A RENEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
432 FERENZ AVE, CROWLEY, TX 76036-3604
(817) 915-8336
Mailing address
432 FERENZ AVE, CROWLEY, TX 76036-3604
(817) 915-8336
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
304629
TX
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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