Provider Demographics
NPI:1952308868
Name:LINDEN, BRUCE LEONARD (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:LEONARD
Last Name:LINDEN
Suffix:
Gender:M
Credentials:MD
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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
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG3559207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00D86PMedicare ID - Type Unspecified
TXC18438Medicare UPIN