Individual
BRUCE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3911 N 10TH ST, SUITE G, MCALLEN, TX 78501-2036
(956) 687-2100
Mailing address
4121 PERIWINKLE AVE, MCALLEN, TX 78504-5450
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8513
TX
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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