Individual
BROOKE MARIE BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
22135 BULVERDE RD STE 106, SAN ANTONIO, TX 78259-1849
(281) 783-8162
Mailing address
2925 BRIARPARK DR STE 575, HOUSTON, TX 77042-3776
(832) 626-2842
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1092641
TX
363LF0000X
Family Nurse Practitioner
111595
NE
Other
Enumeration date
11/07/2013
Last updated
09/19/2022
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