MEDICARE: LENA R BRUCE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H6081	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00801Q	OTHER	TX	PTAN

General Provider Information

NPI Number	:	1558322438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENA R BRUCE M.D.

Provider Business Mailing Address
First Line	:	12422 HIGHWAY 6
Second Line	:
City	:	SANTA FE
State	:	TX
Zip	:	77510-7608
Country	:	US
Telephone Number	:	409-316-9298
Fax Number	:	409-316-9336

Provider Business Practice Location Address
First Line	:	12422 HIGHWAY 6
Second Line	:
City	:	SANTA FE
State	:	TX
Zip	:	77510-7608
Country	:	US
Telephone Number	:	409-316-9298
Fax Number	:	409-316-9336

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2006
Last Update Date	:	01/06/2026

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Directions to “ LENA R BRUCE M.D.” Practice Location

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