Blake, Brooks M

Blake, Brooks M is an individual health care provider with primary practice located at 1800 Mormon Mill Rd Ste A6, Marble Falls TX 78654-4175. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Blake, Brooks M can be contacted via phone (830) 798-8000.

Contact Information

Primary practice address
1800 Mormon Mill Rd Ste A6 Marble Falls TX 78654-4175
Phone: (830) 798-8000
Fax: (830) 798-8120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X L4187 Texas

Profile Details

NPI number 1164435236
LBN Legal business name Blake, Brooks M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164435236 NPPES
Texas Other 0041KC BLUE CROSS BLUE SHIELD

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