Individual
WILLIAM A BRUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9301 N CENTRAL EXPY # 720-1982, DALLAS, TX 75231-0806
(214) 220-2468
(214) 720-1982
Mailing address
9301 N CENTRAL EXPY STE 400, DALLAS, TX 75231-0805
(214) 220-2468
(214) 720-1982
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
E6259
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105383701
—
TX
01
—
200021212
RAILROAD MEDICARE
TX
01
—
872357
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/19/2006
Last updated
04/22/2020
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