Organization
HOWARD HOLBROOKS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY L. NOBLE JR. (CREDENTIALING COORDINATOR)
(817) 529-1923
Entity
Organization
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1923
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1923
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
L6944
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188148401
—
TX
Enumeration date
05/24/2007
Last updated
07/29/2008
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