Individual
DR. BROOKE ANNE HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6606 LBJ FWY STE 200, DALLAS, TX 75240-6524
(972) 715-5000
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP1-0040863
TX
207L00000X
Anesthesiology Physician
Primary
Q3529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346816701
—
TX
01
—
8FC510
BCBS TX
TX
Enumeration date
05/17/2011
Last updated
10/28/2015
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