Individual
MS. CHRISTINE LYNN BROUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN,CNOR,RNFA
Contact information
Practice address
4564 BENTLEY DR, PLANO, TX 75093-7151
(214) 566-4574
(469) 241-9096
Mailing address
PO BOX 867166, PLANO, TX 75086-7166
(214) 566-4574
(469) 241-9096
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
676742
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37HT
BCBS
TX
Enumeration date
12/05/2006
Last updated
07/08/2007
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