Brokish, Peter A.

Brokish, Peter A. is an individual health care provider with primary practice located at 4851 Merlot Ave Unit 550 , Grapevine TX 76051-7380. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brokish, Peter A. can be contacted via phone (682) 459-2849.

Contact Information

Primary practice address
4851 Merlot Ave Unit 550 Grapevine TX 76051-7380
Phone: (682) 459-2849
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD60915016 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X P1852 Texas

Profile Details

NPI number 1053519645
LBN Legal business name Brokish, Peter A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2007
Last updated Jan 25th, 2023 - about 2 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 1053519645 NPPES
Texas MEDICAID 293617101
Texas Other P1852

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