Brooker, Olmer Ronnie

Brooker, Olmer Ronnie is an individual health care provider with primary practice located at 1418 George Dieter Dr Ste B, El Paso TX 79936-7601. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brooker, Olmer Ronnie can be contacted via phone (915) 855-7900.

Contact Information

Primary practice address
1418 George Dieter Dr Ste B El Paso TX 79936-7601
Fax: (915) 855-7755
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X E5012 Texas

Profile Details

NPI number 1952304297
LBN Legal business name Brooker, Olmer Ronnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Feb 7th, 2017 - about 7 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 1952304297 NPPES
Texas MEDICAID 123970905

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