Wagen, Brooke Ruth
Wagen, Brooke Ruth is an individual health care provider with primary practice located at 2820 E Martin Luther King Jr Blvd , Austin TX 78702-1544. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Wagen, Brooke Ruth can be contacted via phone (512) 322-0747.Contact Information
Primary practice address
2820 E Martin Luther King Jr Blvd
Austin TX 78702-1544
Phone: (512) 322-0747
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | U1789 | Texas |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207RH0002X | U1789 | Texas |
Profile Details
| NPI number | 1871114561 |
|---|---|
| LBN Legal business name | Wagen, Brooke Ruth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2020 |
| Last updated | Jun 12th, 2024 - about 2 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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