Brockman, Craig Reece
Brockman, Craig Reece is an sole proprietor health care provider with primary practice located at 231 South Collins , Sunnyvale TX 75182-4624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brockman, Craig Reece can be contacted via phone (972) 203-6240.Contact Information
Primary practice address
231 South Collins
Sunnyvale TX 75182-4624
Phone: (972) 203-6240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | L5687 | Texas |
Profile Details
| NPI number | 1023188760 |
|---|---|
| LBN Legal business name | Brockman, Craig Reece |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2006 |
| Last updated | Jan 24th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023188760 | NPPES |
| Texas | Other | P00853224 | RRMCARE THRU IEPOS |
| Texas | MEDICAID | 166059904 | RRMCARE THRU IEPOS |
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