Individual
BRUCE WELBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W ILLINOIS AVE, MIDLAND, TX 79701-6436
(432) 203-0201
Mailing address
2501 W ILLINOIS AVE, MIDLAND, TX 79701-6436
(432) 203-0201
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1200656
TX
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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