Individual
STEWART T BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8441 STATE HIGHWAY 47 STE 4300, BRYAN, TX 77807-3235
(979) 776-8896
Mailing address
8441 STATE HIGHWAY 47 STE 4300, BRYAN, TX 77807-3235
(979) 776-8896
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA06723
TX
363AS0400X
Surgical Physician Assistant
PA10004055
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0211459
L&I NUMBER
WA
Enumeration date
06/20/2005
Last updated
08/12/2015
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