Individual
BRUCE M JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3645 FM 3349, TAYLOR, TX 76574-5297
(512) 784-8071
Mailing address
3645 FM 3349, TAYLOR, TX 76574-5297
(512) 784-8071
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
048678
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048678
CRNA ID#
TX
Enumeration date
03/21/2007
Last updated
11/01/2007
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