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MR. JACK GLEN BROOKS MD
Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1427080845
Individual Registrant:MR. JACK GLEN BROOKS MD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
601 W ARBROOK BLVD HEALTHSOUTH DIAGNOSTIC CENTER OF ARLINGTON ALRINGTON, TX 76014-3701 US
Tel: 817-472-0801 Fax: 817-472-0309
Tel: 817-472-0801 Fax: 817-472-0309
Contact information for business:
1824 SOUTHPARK DRIVE ARLINGTON, TX 76013-4211 US
Tel: 817-429-1645 Fax: 817-451-3796
Tel: 817-429-1645 Fax: 817-451-3796
Registration Information:
NPI: 1427080845
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2085R0202X | Allopathic & Osteopathic Physicians Radiology Diagnostic Radiology | TX | D2754 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| C13798 | TX | 05 |
