Individual
BROOKE M BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5656 BEE CAVES RD STE G201, WEST LAKE HILLS, TX 78746-5236
(512) 732-2774
Mailing address
303 E MAIN ST, ROUND ROCK, TX 78664-5246
(512) 732-2774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP135365
TX
Other
Enumeration date
10/19/2017
Last updated
11/28/2023
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