Individual
DR. BRUCE LEE GAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
4804 96TH ST, LUBBOCK, TX 79424-4819
(806) 438-1203
(806) 794-6566
Mailing address
4804 96TH ST, LUBBOCK, TX 79424-4819
(806) 438-1203
(806) 794-6566
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1032993
TX
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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