Individual
BROOKE DIANE MINGENBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 ORTHOPEDIC WAY, ARLINGTON, TX 76015-1629
(817) 375-5200
(817) 299-1731
Mailing address
PO BOX 120489, ARLINGTON, TX 76012-0489
(817) 375-5200
(817) 299-1731
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04987
TX
Other
Enumeration date
09/21/2006
Last updated
09/10/2008
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