Individual
DR. CHARLES ATHAN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1195 GARNER FIELD RD, BLDG A, SUITE 100, UVALDE, TX 78801
(830) 278-6200
(830) 278-6202
Mailing address
PO BOX 1008, SAN MARCOS, TX 78667-1008
(830) 629-4200
(830) 629-4206
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
ME59489
FL
2085R0001X
Radiation Oncology Physician
Primary
R5519
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2876633-01
—
TX
05
—
371701100
—
FL
01
—
631214ZM4M
MEDICARE
TX
Enumeration date
07/13/2005
Last updated
06/04/2018
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