Individual
BRUCE EDWARD MANIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
101 S BROADWAY ST, BELLS, TX 75414-2696
(903) 965-7700
(903) 965-7623
Mailing address
101 S BROADWAY ST, PO BOX 207, BELLS, TX 75414-0207
(903) 965-7700
(903) 965-7623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H8741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114610201
—
TX
Enumeration date
12/28/2005
Last updated
10/09/2007
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