Provider Demographics
NPI:1982463279
Name:BRUCE, JULIAN LLOYD
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:LLOYD
Last Name:BRUCE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11303 HILLTOP ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-2617
Mailing Address - Country:US
Mailing Address - Phone:737-888-1655
Mailing Address - Fax:
Practice Address - Street 1:11303 HILLTOP ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-2617
Practice Address - Country:US
Practice Address - Phone:737-888-1655
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program