Individual
DR. JINNIE A BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2600 E PFLUGERVILLE PKWY STE 100, PFLUGERVILLE, TX 78660-5999
(512) 654-6100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(979) 691-3300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M6546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196245803
—
TX
05
—
196245804
—
TX
05
—
196245807
—
TX
05
—
196245808
—
TX
01
—
8CX666
BCBS
TX
Enumeration date
07/19/2005
Last updated
08/19/2020
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