Provider Demographics
NPI:1154438927
Name:JANUARY, BRUCE (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:
Last Name:JANUARY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5420 WEST LOOP S STE 4200
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2121
Mailing Address - Country:US
Mailing Address - Phone:713-666-4224
Mailing Address - Fax:713-666-2203
Practice Address - Street 1:5420 WEST LOOP S STE 4200
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2121
Practice Address - Country:US
Practice Address - Phone:713-666-4224
Practice Address - Fax:713-666-2203
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK7561207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00137623OtherDPS
TX00137623OtherDPS