Individual
MR. JACK GLEN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W ARBROOK BLVD, HEALTHSOUTH DIAGNOSTIC CENTER OF ARLINGTON, ALRINGTON, TX 76014-3701
(817) 472-0801
(817) 472-0309
Mailing address
1824 SOUTHPARK DRIVE, ARLINGTON, TX 76013-4211
(817) 429-1645
(817) 451-3796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D2754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C13798
—
TX
Enumeration date
07/07/2006
Last updated
07/08/2007
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