Individual
DR. BRUCE ANTHONY FINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, BLDG D, SUITE 400, DALLAS, TX 75230-2505
(972) 566-7790
(972) 566-5819
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
H6217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102465504
—
TX
05
—
102465505
—
TX
05
—
102465506
—
TX
01
—
8U1531
BLUE CROSS OF TEXAS
TX
Enumeration date
06/12/2006
Last updated
10/26/2021
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