Individual
DR. ROBERT JOEL BROSELOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4009 19TH ST, SUITE E, LUBBOCK, TX 79410-1003
(806) 795-9020
(806) 795-4726
Mailing address
4009 19TH ST, SUITE E, LUBBOCK, TX 79410-1003
(806) 795-9020
(806) 795-4726
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
D9089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123600206
—
TX
Enumeration date
10/17/2007
Last updated
10/17/2007
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