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Individual

DR. BRUCE LEE PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1631 11TH ST, SUITE A, WICHITA FALLS, TX 76301-4320
(940) 264-3222
(940) 264-3225
Mailing address
PO BOX 3365, WICHITA FALLS, TX 76301-0365
(940) 264-3222
(940) 264-3225

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
45986
OK
207RI0011X
Interventional Cardiology Physician
Primary
K8961
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8S6801
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/30/2006
Last updated
07/02/2025
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