Individual
NHU BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17183 I H 45 S STE 690, SHENANDOAH, TX 77385
(936) 270-3900
Mailing address
17183 I H 45 S STE 690, SHENANDOAH, TX 77385-3317
(936) 270-3900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A112788
CA
2084N0400X
Neurology Physician
P7254
TX
2084V0102X
Vascular Neurology Physician
Primary
P7254
TX
390200000X
Student in an Organized Health Care Education/Training Program
TL-1959
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302396YTZL
MEDICARE NUMBER
TX
05
—
340325502
—
TX
Enumeration date
01/26/2007
Last updated
07/17/2020
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