Individual
CAROL BROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
992 E US HIGHWAY 80, FORNEY, TX 75126-8709
(972) 552-2920
Mailing address
312 DOWELL RD, ROCKWALL, TX 75032-7172
(972) 948-7949
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
737648
TX
Other
Enumeration date
03/03/2014
Last updated
03/03/2014
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