Brooks, Kenneth Ryan
Brooks, Kenneth Ryan is an individual health care provider with primary practice located at 905 W Medical Center Blvd Ste 404 , Webster TX 77598-4009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Brooks, Kenneth Ryan can be contacted via phone (281) 985-9342.Contact Information
Primary practice address
905 W Medical Center Blvd Ste 404
Webster TX 77598-4009
Phone: (281) 985-9342
Fax: (281) 393-0029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 4301088759 | Michigan |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | N3515 | Texas |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 4301088759 | Michigan |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | N3515 | Texas |
| Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | N3515 | Texas |
Profile Details
| NPI number | 1093930562 |
|---|---|
| LBN Legal business name | Brooks, Kenneth Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | May 30th, 2024 - about 4 months 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 | 1093930562 | NPPES |
| Texas | MEDICAID | 206898304 | |
| Texas | MEDICAID | 206898301 | |
| Texas | MEDICAID | 5209565 | |
| Texas | Other | 8FU628 |
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