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General NPI Number Information
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NPI Number | 1780243337
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Entity Type | Individual
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Provider Name | MICHAEL DAVID BRUCE MD
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Gender | Male
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 1919 OLD SPANISH TRL
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City | HOUSTON
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State | TX
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Zip | 77054-2003
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Country | US
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Telephone | 713-798-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 8310 QUEBEC DR
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City | HOUSTON
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State | TX
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Zip | 77096-1035
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Country | US
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Telephone | 713-823-6398
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | W0133
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | W0133
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License Number State | TX
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