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Individual
MRS. RHODABECA R BROOKS
Active
Individual
MRS. RHODABECA R BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00774
OR
363A00000X
Physician Assistant
Primary
PA07031
TX
363AM0700X
Medical Physician Assistant
PA07031
TX
363AM0700X
Medical Physician Assistant
PA10003761
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0220759
LABOR AND INDUSTRIES
WA
01
—
1275726853
COLLEGE STATION/ABC
TX
01
—
1821185299
AGENCY NPI
TX
05
—
187842301
—
TX
01
—
3929BR
REGENCE RIDER NUMBER
WA
05
—
8480493
—
WA
Enumeration date
12/28/2005
Last updated
07/30/2024
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