Individual
DR. MARY BROOKES EZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.201394
LA
2085R0204X
Vascular & Interventional Radiology Physician
201394
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201394
LICENSE
LA
Enumeration date
02/18/2008
Last updated
02/21/2026
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