Individual
EDWARD G BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5282 MEDICAL DR, SAN ANTONIO, TX 78229-4849
(210) 450-7337
Mailing address
5282 MEDICAL DR, SAN ANTONIO, TX 78229-4849
(210) 450-7337
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
H0212
TX
2080P0201X
Pediatric Allergy/Immunology Physician
H0212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124714001
—
TX
Enumeration date
09/29/2006
Last updated
02/08/2024
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