Individual
BRUCE P. PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 CEDAR BEND DR, AUSTIN, TX 78758-5378
(512) 901-4026
(512) 901-3926
Mailing address
12221 N MOPAC EXPY, AUSTIN, TX 78758-2401
(512) 901-4026
(512) 901-3926
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J3569
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043641201
—
TX
Enumeration date
04/13/2006
Last updated
01/13/2022
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