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Individual

DR. ALEXANDER BROOKS BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-4129
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD00040811
WA
2080P0202X
Pediatric Cardiology Physician
Primary
65747
CA

Other

Enumeration date
09/22/2005
Last updated
09/01/2023
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