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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225402043 NPPES
Texas Other 105931 STATE LICENSE ASSISTED LIVING

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