Organization
BRUCE E MANIET DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE E MANIET DO (PHYSICIAN)
(903) 965-7700
Entity
Organization
Contact information
Practice address
101 S BROADWAY ST, BELLS, TX 75414-2696
(903) 965-7700
(903) 965-7623
Mailing address
PO BOX 207, BELLS, TX 75414-0207
(903) 965-7700
(903) 965-7623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H8741
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114610201
—
TX
Enumeration date
04/16/2010
Last updated
04/26/2010
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