Individual
DR. BRUCE JEFFREY APPLEBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-5560
Mailing address
14763 BIG OAK BAY RD, TYLER, TX 75707-7307
(915) 474-4102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J3278
TX
2086S0127X
Trauma Surgery Physician
J3278
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137411801
—
TX
Enumeration date
07/07/2005
Last updated
02/08/2024
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