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NPI Code Detail

MEDICARE: DR. BRUCE LOYAL EHNI MD

MEDICARE: DR. BRUCE LOYAL EHNI MD
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
1207T00000XNeurological Surgery PhysicianE6337TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
284Z192OTHERTXBC/BS OF TEXAS

General Provider Information

NPI Number : 1205820446
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRUCE LOYAL EHNI MD
Provider Business Mailing Address
First Line : 2532 BLUE BONNET BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3504
Country : US
Telephone Number : 713-664-4483
Fax Number : 713-794-7352
Provider Business Practice Location Address
First Line : 2002 HOLCOMBE BLVD
Second Line : 580-112 NEUROSURGERY
City : HOUSTON
State : TX
Zip : 77030-4211
Country : US
Telephone Number : 713-791-1414
Fax Number : 713-794-7352
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 05/09/2016

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