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Individual

STEVEN DOUGLAS BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LSA

Contact information

Practice address
800 W JEFFERSON ST, #150, BROWNSVILLE, TX 78520-6329
(956) 544-8144
(956) 544-8142
Mailing address
800 W JEFFERSON ST, #150, BROWNSVILLE, TX 78520-6329
(956) 544-8144
(956) 544-8142

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
SA00031
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8N4381
BLUE CROSS BLUE SHIELD #
Enumeration date
01/04/2007
Last updated
07/08/2007
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