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NPI Code Detail

MEDICARE: MICHAEL E BROOKS MD

MEDICARE:   MICHAEL E BROOKS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianH7704TX

General Provider Information

NPI Number : 1639196223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL E BROOKS MD
Provider Business Mailing Address
First Line : PO BOX 12630
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-8630
Country : US
Telephone Number : 817-870-0172
Fax Number : 817-870-0158
Provider Business Practice Location Address
First Line : 2260 COLLEGE AVENUE
Second Line :
City : FORT WORTH
State : TX
Zip : 76110-1952
Country : US
Telephone Number : 817-870-0172
Fax Number : 817-870-0158
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2006
Last Update Date : 01/15/2014

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Directions to “ MICHAEL E BROOKS MD” Practice Location

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