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DR. CRAIG REECE BROCKMAN II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
231 SOUTH COLLINS, SUNNYVALE, TX 75182-4624
(972) 203-6240
Mailing address
DEPT 960390, OKLAHOMA CITY, OK 73196-0390
(877) 485-4474

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L5687
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
166059904
TX
01
P00853224
RRMCARE THRU IEPOS
TX
Enumeration date
11/09/2006
Last updated
01/24/2011
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