Individual
MISTY DAWN BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 N CENTRAL EXPY, SUITE 400, DALLAS, TX 75243-3755
(214) 219-3747
(214) 219-3748
Mailing address
8636 NAOMI ST, PLANO, TX 75024-7811
(903) 277-9665
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
687861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280599601
—
TX
Enumeration date
01/10/2011
Last updated
06/21/2012
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