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NPI Code Detail

MEDICARE: MS. CHRISTINE LYNN BROUK RN,BSN,CNOR,RNFA

MEDICARE:  MS. CHRISTINE LYNN BROUK  RN,BSN,CNOR,RNFA
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
1163WR0006XRegistered Nurse First Assistant676742TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
137HTOTHERTXBCBS

General Provider Information

NPI Number : 1952469736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTINE LYNN BROUK RN,BSN,CNOR,RNFA
Provider Business Mailing Address
First Line : PO BOX 867166
Second Line :
City : PLANO
State : TX
Zip : 75086-7166
Country : US
Telephone Number : 214-566-4574
Fax Number : 469-241-9096
Provider Business Practice Location Address
First Line : 4564 BENTLEY DR
Second Line :
City : PLANO
State : TX
Zip : 75093-7151
Country : US
Telephone Number : 214-566-4574
Fax Number : 469-241-9096
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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Directions to “ MS. CHRISTINE LYNN BROUK RN,BSN,CNOR,RNFA” Practice Location

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