Provider Demographics
NPI:1063409217
Name:BRUNA, SILVIO (DC)
Entity type:Individual
Prefix:DR
First Name:SILVIO
Middle Name:
Last Name:BRUNA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:SILVIO
Other - Middle Name:
Other - Last Name:BRUNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1302 N SHEPHERD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3752
Mailing Address - Country:US
Mailing Address - Phone:713-923-4000
Mailing Address - Fax:713-868-9631
Practice Address - Street 1:1302 N SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-3752
Practice Address - Country:US
Practice Address - Phone:713-923-4000
Practice Address - Fax:713-868-9631
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDC 4643111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU14167Medicare UPIN
TXU14167Medicare UPIN