Brooks, Rusana
Brooks, Rusana is an sole proprietor health care provider with primary practice located at 4139 Briarglen , San Antonio TX 78218-1521. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Brooks, Rusana can be contacted via phone (210) 590-8927.Contact Information
Primary practice address
4139 Briarglen
San Antonio TX 78218-1521
Phone: (210) 590-8927
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Point of Service | 305S00000X | 141582 | Texas |
Profile Details
NPI number | 1225402043 |
---|---|
LBN Legal business name | Brooks, Rusana |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 17th, 2015 |
Last updated | Nov 17th, 2015 - about 10 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 | 1225402043 | NPPES |
Texas | Other | 105931 | STATE LICENSE ASSISTED LIVING |
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