Organization
BROOKS MEMORIAL CLINIC FORT WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA HAMILTON BROOKS (OWNER/OFFICE MANAGER)
(817) 926-4693
Entity
Organization
Contact information
Practice address
2200 EVANS AVE, FORT WORTH, TX 76104-6066
(817) 926-4693
(817) 920-9625
Mailing address
2200 EVANS AVE, FORT WORTH, TX 76104-6066
(817) 926-4693
(817) 920-9625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G0262
TX
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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