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Contact Information

GORDON BRUCE, MD
3320 LIVE OAK ST
COPC ADMINISTRATION
DALLAS, TX75204-6109
 Phone: 214-266-1000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GORDON BRUCE · (Male)

NPI Number 1295711901
Status Active
Credentials MD
Entity Individual
Enumeration date 12/15/2005
Last updated 12/15/2020 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J4011
  • TX Medicaid 113281304
  • TX Medicaid 113281305
  • TX Medicaid 113281306
  • TX Medicaid 113281307
  • TX Medicaid 113281308
  • TX Medicaid 113281309
  • TX Medicaid 113281310
  • TX Medicaid 113281311
  • TX Medicaid 113281312
  • TX Medicaid 113281313
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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