Individual
MR. JAMES EARL BROOKS
Active
Individual
MR. JAMES EARL BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
089996
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
04168
LA
367500000X
Certified Registered Nurse Anesthetist
706014
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1156434
—
LA
01
—
P00361767
RAILROAD MEDICARE PIN
LA
Enumeration date
06/24/2006
Last updated
10/12/2016
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