Individual
DR. BRUCE E CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18707 HARDY OAK BLVD STE 210, SAN ANTONIO, TX 78258-4803
(210) 593-2500
(210) 593-2501
Mailing address
4383 MEDICAL DRIVE, SAN ANTONIO, TX 78229
(210) 593-2584
(210) 593-5870
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J6385
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046522101
—
TX
Enumeration date
06/26/2006
Last updated
08/15/2017
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