# BROOKS M. BLAKE, DO, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861660094
- **Authorized official:** BROOKS M BLKAKE DO (OWNER)
- **Authorized official phone:** (830) 798-8000

## Contact information

- **Practice address:** 1009 FALLS PKWY STE B, MARBLE FALLS, TX 78654-4630
- **Practice address phone:** (830) 798-8000
- **Practice address fax:** (830) 798-1076
- **Mailing address:** 1009 FALLS PKWY STE B, MARBLE FALLS, TX 78654-4630
- **Mailing address phone:** (830) 798-8000
- **Mailing address fax:** (830) 798-1075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2008
- **Last updated:** 07/07/2010