Individual
RALPH ANTHONY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6116 OAKBEND TRL, FORT WORTH, TX 76132-3925
(817) 521-2369
(817) 346-7408
Mailing address
PO BOX 1905, FORT WORTH, TX 76101-1905
(817) 521-2369
(817) 346-7408
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
H3656
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2313807
BLUE CROSS/BLUE SHIELD
TX
01
—
H3656
MEDICAL LICENSE
TX
Enumeration date
08/17/2006
Last updated
09/30/2020
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