Individual provider · Type 1 NPI

Dominique Michelle Bruncko, MD

Student in an Organized Health Care Education/Training Program · Houston, TX

NPI number 1992445001 Active

Practice location

1 Baylor Plz # BCM320
Houston, TX 77030-3498

Call (832) 824-1170 Map

Mailing address

530 Council Cir
Vernon Hills, IL 60061-1648

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992445001

Dominique Michelle Bruncko, MD's National Provider Identifier is 1992445001, issued on Mar 29, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Houston, TX. The record was last updated on Mar 29, 2022.