| Bruce Kruger, P.c. | |
|
5450 Bee Cave Rd Suite # 5-b West Lake Hills TX 78746-5244 | |
| (512) 327-4827 | |
| (512) 327-2026 |
| Full Name | Bruce Kruger, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 5450 Bee Cave Rd, West Lake Hills, Texas |
| Authorized Official Name and Position | Bruce D Kruger (OWNER) |
| Authorized Official Contact | 5123274827 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Kruger, P.c. 5450 Bee Cave Rd Suite # 5-b West Lake Hills TX 78746-5244 Ph: (512) 327-4827 | Bruce Kruger, P.c. 5450 Bee Cave Rd Suite # 5-b West Lake Hills TX 78746-5244 Ph: (512) 327-4827 |
| NPI Number | 1407988561 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 09/21/2007 |
| Medicare PECOS PAC ID | 4486887783 |
|---|---|
| Medicare Enrollment ID | O20140512000168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407988561 | NPI | - | NPPES |
| SD-16 | Other | BC-BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2-1247 (Texas) | Primary |
| Provider Name | David Bruce Kruger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831100643 PECOS PAC ID: 4486805850 Enrollment ID: I20140512000273 |
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