Healthcare Provider Details

I. General information

NPI: 1124713169
Provider Name (Legal Business Name): BROOKE ESTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1665 ANTILLEY RD
ABILENE TX
79606-5265
US

IV. Provider business mailing address

1665 ANTILLEY RD STE 200
ABILENE TX
79606-5271
US

V. Phone/Fax

Practice location:
  • Phone: 325-793-5100
  • Fax:
Mailing address:
  • Phone: 325-794-5370
  • Fax: 325-794-5371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberV6924
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: