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Organization

BROOKS M. BLAKE, DO, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROOKS M BLKAKE DO (OWNER)
(830) 798-8000
Entity
Organization

Contact information

Practice address
1009 FALLS PKWY STE B, MARBLE FALLS, TX 78654-4630
(830) 798-8000
(830) 798-1076
Mailing address
1009 FALLS PKWY STE B, MARBLE FALLS, TX 78654-4630
(830) 798-8000
(830) 798-1075

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
02/11/2008
Last updated
07/07/2010
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