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Organization
BROOKS M. BLAKE, DO, PA
Active
Organization
BROOKS M. BLAKE, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKS M BLKAKE DO (OWNER)
(830) 798-8000
Entity
Organization
Contact information
Practice address
1009 FALLS PKWY STE B, MARBLE FALLS, TX 78654-4630
(830) 798-8000
(830) 798-1076
Mailing address
1009 FALLS PKWY STE B, MARBLE FALLS, TX 78654-4630
(830) 798-8000
(830) 798-1075
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
07/07/2010
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