Individual
BRUCE M FAUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 COLONY CT, IRVING, TX 75061-2176
(972) 259-5873
Mailing address
400 COLONY CT, IRVING, TX 75061-2176
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0868
TX
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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