Organization
ANDREW F BROOKER M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY ANN CLARK (OFFICE MANAGER)
(806) 468-0313
Entity
Organization
Contact information
Practice address
4514 CORNELL ST, SUITE B, AMARILLO, TX 79109-5800
(806) 355-6552
(806) 468-0340
Mailing address
4514 CORNELL ST, SUITE B, AMARILLO, TX 79109-5800
(806) 355-6552
(806) 468-0340
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
J5961
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00942N
BLUE CROSS BLUE SHIELD
TX
05
—
142946601
—
TX
01
—
CK2090
MEDICARE RAILROAD
TX
05
—
W1786
—
NM
Enumeration date
09/27/2007
Last updated
02/08/2008
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