Provider Demographics
NPI:1447589239
Name:BRUCE L LINDEN MD PA
Entity Type:Organization
Organization Name:BRUCE L LINDEN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LINDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-317-0331
Mailing Address - Street 1:2300 HIGHLAND VILLAGE RD
Mailing Address - Street 2:STE#600
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7148
Mailing Address - Country:US
Mailing Address - Phone:972-317-0331
Mailing Address - Fax:972-317-3811
Practice Address - Street 1:2300 HIGHLAND VILLAGE RD
Practice Address - Street 2:STE#600
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7148
Practice Address - Country:US
Practice Address - Phone:972-317-0331
Practice Address - Fax:972-317-3811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG3559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty