Organization
BRUCE LEIPZIG, M.D, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE LEIPZIG M.D. (OWNER)
(325) 643-5695
Entity
Organization
Contact information
Practice address
2410 CROCKETT DR, SUITE B, BROWNWOOD, TX 76801-5906
(325) 643-5695
(325) 643-1193
Mailing address
2410 CROCKETT DR, SUITE B, BROWNWOOD, TX 76801-5906
(325) 643-5695
(325) 643-1193
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
F1114
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1657590201
—
TX
Enumeration date
07/13/2006
Last updated
08/22/2020
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