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Individual

DONALD R BRODE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3828 S 1ST ST, AUSTIN, TX 78704-7048
(512) 443-1311
(512) 448-8264
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 421-4489

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6752
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
044570201
TX
05
044570202
TX
Enumeration date
06/17/2006
Last updated
12/08/2010
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