Individual
DR. EDWARD MYLES BROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., P.C.
Contact information
Practice address
6800 WEST LOOP S, SUITE 550, BELLAIRE, TX 77401-4528
(713) 795-5841
(713) 795-5596
Mailing address
6800 WEST LOOP S, SUITE 550, BELLAIRE, TX 77401-4528
(713) 795-5841
(713) 795-5596
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6179
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74211245
TAX ID #
TX
Enumeration date
09/21/2006
Last updated
07/08/2007
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