Individual
HELENA DAWN NICOLE BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
013197
NY
363AS0400X
Surgical Physician Assistant
25MP00216600
NJ
363AS0400X
Surgical Physician Assistant
Primary
PA07620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302843301
—
TX
05
—
302843302
—
TX
01
—
876N29
BCBS / COMMERCIAL
TX
Enumeration date
06/22/2009
Last updated
09/04/2013
Update your record
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