Gordon Bruce is a Pediatrics in Dallas, Texas. Gordon Bruce practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Gordon Bruce is 1295711901. The last update date is 2020-12-15.
Gordon Bruce's current location address is 3320 Live Oak St, Dallas, Texas. You can contact this provider via phone number 2142661000. The mailing address for Gordon Bruce is 3320 Live Oak St, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gordon Bruce |
|---|---|
| Address | 3320 Live Oak St, Dallas, Texas |
| Phone Number | 2142661000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1295711901 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2020-12-15 |
Provider Mailing Address Detail
| Address | 3320 Live Oak St |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752046109 |
| Phone Number | 2142661000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | J4011 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113281311 | TX | -- | |
| 113281312 | TX | -- | |
| 113281313 | TX | -- | |
| 113281304 | TX | -- | |
| 113281310 | TX | -- | |
| 113281308 | TX | -- | |
| 113281309 | TX | -- | |
| 113281306 | TX | -- | |
| 113281305 | TX | -- | |
| 113281307 | TX | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gordon Bruce?
The Gordon Bruce has been issued the NPI (National Provider Identifier) 1295711901 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Gordon Bruce located?
The Gordon Bruce is located at 3320 Live Oak St, Dallas, TX 752046109.
What is the Gordon Bruce's specialty and taxonomy code?
The Gordon Bruce's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1295711901 to Gordon Bruce?
The Centers for Medicare & Medicaid Services originally issued the 1295711901 to Gordon Bruce on 2005-12-15.
When was the information regarding Gordon Bruce most recently updated?
The details pertaining to the Gordon Bruce, including its address, specialty, and other relevant information, were last refreshed on 2020-12-15.