Individual
BRUCE SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17218 PRESTON RD STE 2000, DALLAS, TX 75252-4018
(954) 399-4673
(309) 543-2089
Mailing address
PO BOX 742712, ATLANTA, GA 30374-2712
(877) 866-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036110300
IL
207Q00000X
Family Medicine Physician
Primary
U0534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457535901
—
TX
Enumeration date
04/26/2006
Last updated
06/14/2023
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