Individual
MR. BRUCE ERIC KOEHLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 S LANCASTER RD, #181, DALLAS, TX 75216-4555
(469) 488-4600
(469) 488-4601
Mailing address
3200 S LANCASTER RD, #181, DALLAS, TX 75216-4555
(469) 488-4600
(469) 488-4601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
Q5681
TX
Other
Enumeration date
03/27/2012
Last updated
09/15/2015
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