MEDICARE: SUZANNE BRUCE AND ASSOCIATES, P.A.

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	207N00000X	Dermatology Physician

General Provider Information

NPI Number	:	1598895831
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUZANNE BRUCE AND ASSOCIATES, P.A.

Provider Business Mailing Address
First Line	:	1900 SAINT JAMES PL STE 600
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-4136
Country	:	US
Telephone Number	:	713-850-0240
Fax Number	:	713-850-0895

Provider Business Practice Location Address
First Line	:	1900 SAINT JAMES PL STE 600
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77056-4136
Country	:	US
Telephone Number	:	713-850-0240
Fax Number	:	713-850-0895

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUZANNE BRUCE
Credential	:	M.D.
Telephone Number	:	713-796-9199

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	01/24/2017

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