Individual
DR. BRUCE LANCE ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6446 BROADWAY BLVD, GARLAND, TX 75043-5943
(972) 226-0575
Mailing address
1517 PALM VALLEY DR, GARLAND, TX 75043-1340
(972) 840-0733
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G1842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099850201
—
TX
Enumeration date
06/27/2006
Last updated
05/23/2008
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