Organization
EL PICC STAT
Active
Parent organization
ROBERT L. MCBROOM
Other names
ETTA CAVIN RN
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBERT L. MCBROOM
Authorized official
MRS. MARY M BROOKING CMOM,CMIS (ADMINISTRATOR)
(940) 781-8837
Entity
Organization
Contact information
Practice address
1040 W JEFFERSON ST, BROWNSVILLE, TX 78520-6338
(940) 781-8837
(940) 692-4136
Mailing address
5308 PYRENEES DR, WICHITA FALLS, TX 76310-3949
(940) 781-8837
(940) 692-4136
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
F6922
TX
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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