Individual
ELIZABETH BROOKE MAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
804 W MAIN ST, HALLSVILLE, TX 75650-5102
(903) 374-5465
Mailing address
4279 OLD HIGHWAY 135 S, KILGORE, TX 75662-7879
(903) 374-5465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1059117
TX
363LP2300X
Primary Care Nurse Practitioner
F09210916
TX
Other
Enumeration date
10/26/2021
Last updated
01/31/2026
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