Brooks Surgery Clinic, Pllc

NPI 1083045041 - Surgery - 208600000X

NPI Details
NPI 1083045041
Enumeration Date 12/02/2013
Last Updated 01/15/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name MICHAEL EDWIN MICHAEL
Position OWNER
Phone (817) 870-0172
Fax (817) 870-0158
Practice Location
2260 COLLEGE AVE
FORT WORTH TX, 76110-1952, US
Phone (817) 870-0172
Fax (817) 870-0158
Business Location
PO BOX 12630
FORT WORTH TX, 76110-8630, US
Phone (817) 870-0172
Fax (817) 870-0158
Toxanomy
Taxonomy Code 208600000X
License State Texas
License Number H7704
Remove 1083045041 NPI Number
 

According to our database, Brooks Surgery Clinic, Pllc NPI is 1083045041, taxonomy code is 208600000X and license number is H7704, license state is located at Texas. Brooks Surgery Clinic, Pllc physically located at 2260 College Ave, Fort Worth TX, 76110-1952. NPI Number 1033115704 has the healthcare provider type.

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1083045041 NPI number is provided on an as is basis without warranty of any kind. 1083045041 is maintained by the National Plan & Provider Enumeration System. The contents of Brooks Surgery Clinic, Pllc are for informational purposes only.