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Organization
PALO PINTO SURGICAL ASSOCIATES, P.A.
Active
Organization
PALO PINTO SURGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH HAMILTON BROOKSHIRE III DO (OWNER)
(940) 325-0742
Entity
Organization
Contact information
Practice address
101 HOLLY HILL RD, SUITE A, MINERAL WELLS, TX 76067-5043
(940) 325-0742
(940) 328-1030
Mailing address
101 HOLLY HILL RD, SUITE A, MINERAL WELLS, TX 76067-5043
(940) 325-0742
(940) 328-1030
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287567601
—
TX
Enumeration date
09/20/2006
Last updated
08/08/2013
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