Individual
CHAD ALTON BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CPNP-PC
Contact information
Practice address
273 E OVILLA RD STE 4, RED OAK, TX 75154-2605
(972) 617-6660
Mailing address
616 WILLIAM DR, OVILLA, TX 75154-3612
(214) 718-6857
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1071025
TX
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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