Individual
DR. BRUCE CHARLES WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH.D
Contact information
Practice address
13615 BELLAIRE BLVD, HOUSTON, TX 77083-1714
(281) 933-3446
(281) 933-6865
Mailing address
13615 BELLAIRE BLVD, HOUSTON, TX 77083-1714
(281) 933-3446
(281) 933-6865
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
4042TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4743680001
CIGNA GOV SERVICES NUMBER
TX
Enumeration date
10/07/2005
Last updated
03/07/2008
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