Brooks, Kathleen Lawlor

Brooks, Kathleen Lawlor is an individual health care provider with primary practice located at 413 W Main St , Azle TX 76020-2905. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brooks, Kathleen Lawlor can be contacted via phone (817) 444-9001.

Contact Information

Primary practice address
413 W Main St Azle TX 76020-2905
Fax: (817) 444-9958
Website:

Profile Details

NPI number 1407968894
LBN Legal business name Brooks, Kathleen Lawlor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 13th, 2019 - about 5 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 1407968894 NPPES
Texas MEDICAID 122109504

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