Individual provider · NPI-1

Dr. Bruce Jeffrey Applebaum, M.D.

Surgery · Tyler, TX

NPI number1902803679
StatusActive
Last updated in NPPESFeb 8, 2024

Details

NPI
1902803679
Entity type
Individual (NPI-1)
Name
Dr. Bruce Jeffrey Applebaum
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 7, 2005
Certification date
Feb 8, 2024
Last updated
Feb 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryJ3278TXYes
2086S0127X Surgery, Trauma SurgeryJ3278TX

Practice location

630 S Fleishel Ave
Tyler, TX 75701-2041

Phone 903-606-5560

Mailing address

14763 Big Oak Bay Rd
Tyler, TX 75707-7307

Phone 915-474-4102

Other practice locations

2000 Transmountain Rd Ste B
El Paso, TX 79911-3602

Phone 915-215-5300

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