Individual
BROOKE ELAINE KIMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 303-9200
(682) 303-9245
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
D0094523
MD
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
V1809
TX
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
V1809
TX
Other
Enumeration date
04/07/2018
Last updated
10/09/2024
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