Brookridge Internal Medicine Associates, Pa

NPI 1396796553 - Internal Medicine - 207RG0300X

NPI Details
NPI 1396796553
Enumeration Date 05/13/2006
Last Updated 02/22/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRENDA M BRENDA
Position OWNER
Phone (903) 655-1153
Fax (903) 655-0620
Practice Location
100 ZEID BLVD
SUITE A
HENDERSON TX, 75652-6069, US
Phone (903) 655-1153
Fax (903) 655-0620
Business Location
100 ZEID BLVD
SUITE A
HENDERSON TX, 75652-6069, US
Phone (903) 655-1153
Fax (903) 655-0620
Toxanomy
Taxonomy Code 207RG0300X
License State Texas
License Number K6399
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According to our database, Brookridge Internal Medicine Associates, Pa NPI is 1396796553, taxonomy code is 207RG0300X and license number is K6399, license state is located at Texas. Brookridge Internal Medicine Associates, Pa physically located at 100 Zeid Blvd, Henderson TX, 75652-6069. NPI Number 1033115704 has the healthcare provider type.

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1396796553 NPI number is provided on an as is basis without warranty of any kind. 1396796553 is maintained by the National Plan & Provider Enumeration System. The contents of Brookridge Internal Medicine Associates, Pa are for informational purposes only.