Individual
CHARLES DOUGLAS BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 MEDI PARK DR, SUITE 2050, AMARILLO, TX 79106-2110
(806) 355-3352
(806) 355-5367
Mailing address
1901 MEDI PARK DR, SUITE 2050, AMARILLO, TX 79106-2110
(806) 355-3352
(806) 355-5367
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.092843
OH
2085R0202X
Diagnostic Radiology Physician
M7874
TX
2085R0202X
Diagnostic Radiology Physician
MD2010-0147
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.092843
35.092843
OH
01
—
M7874
TX LIC# M7874
TX
01
—
MD2010-0147
NEW MEXICO
NM
Enumeration date
12/11/2007
Last updated
09/28/2010
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