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Individual

APHTON BROOKE LANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-9817
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-9817

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
DO.2586
AL
208000000X
Pediatrics Physician
R2648
TX
2080P0203X
Pediatric Critical Care Medicine Physician
DO.2586
AL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
R2648
TX

Other

Enumeration date
05/12/2015
Last updated
07/12/2024
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