Individual
ANDREA BROOKE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 8TH AVE STE 322, FORT WORTH, TX 76104-4124
(817) 924-2111
(682) 350-2601
Mailing address
P.O. BOX 961205, FORT WORTH, TX 76161-1205
(817) 740-8400
(817) 378-3699
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
R0924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366734701
—
TX
01
—
P00930029
RR MEDICARE
—
Enumeration date
01/25/2007
Last updated
02/28/2020
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