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NPI Code Detail

MEDICARE: MRS. ROSA A BELENA-BRUCE MD

MEDICARE: MRS. ROSA A BELENA-BRUCE 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
12083X0100XOccupational Medicine PhysicianM1019TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366427403
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSA A BELENA-BRUCE MD
Provider Business Mailing Address
First Line : 4000 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77504-1202
Country : US
Telephone Number : 713-359-1583
Fax Number : 713-359-1587
Provider Business Practice Location Address
First Line : 4000 SPENCER HWY
Second Line :
City : PASADENA
State : TX
Zip : 77504-1202
Country : US
Telephone Number : 713-359-1583
Fax Number : 713-359-1587
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 09/07/2007

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