Individual
MARTIN BROCKHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
990 MARLANDWOOD RD, TEMPLE, TX 76502-3365
(254) 771-0852
(254) 771-0861
Mailing address
990 MARLANDWOOD RD, TEMPLE, TX 76502-3365
(254) 771-0852
(254) 771-0861
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
973982
TX
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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