Organization
BROOKRIDGE INTERNAL MEDICINE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA M VOZZA MD (OWNER)
(903) 315-2907
Entity
Organization
Contact information
Practice address
300 N 3RD ST STE A, LONGVIEW, TX 75601
(903) 315-2907
(903) 315-2927
Mailing address
300 N 3RD ST, LONGVIEW, TX 75601-6505
(903) 315-2907
(903) 315-2927
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
K6399
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161382002
—
TX
Enumeration date
05/13/2006
Last updated
01/13/2020
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