Individual
BRENDA MCBROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 W HAGUE RD, SUITE 310, EL PASO, TX 79902-5814
(915) 532-8233
Mailing address
6220 LA POSTA DR, EL PASO, TX 79912-1862
(915) 491-3555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
574686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
574686
NURSE PRACTITIONERS
TX
01
—
8Y1635
BCBS
TX
Enumeration date
07/23/2006
Last updated
01/15/2008
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