Individual
EDWARD ORLAND BROOKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
405 RAY RD, HOLLIDAY, TX 76366-3852
(225) 505-5004
Mailing address
405 RAY RD, HOLLIDAY, TX 76366-3852
(225) 505-5004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
21707
MS
207P00000X
Emergency Medicine Physician
6261
AK
207P00000X
Emergency Medicine Physician
MD.204067
LA
207P00000X
Emergency Medicine Physician
Primary
N9819
TX
Other
Enumeration date
04/27/2009
Last updated
09/20/2012
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