Individual
BRUCE D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1401 E 8TH ST, WESLACO, TX 78596-6640
(956) 968-8567
Mailing address
86 STARDUST PL, SPRING, TX 77381-6187
(936) 273-1926
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E5941
TX
Other
Enumeration date
11/03/2005
Last updated
07/08/2007
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