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MR. JACK GLEN BROOKS MD

Diagnostic Radiology >> Radiology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1427080845

Individual Registrant:
MR. JACK GLEN BROOKS MD
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

Contact information for business:
1824 SOUTHPARK DRIVE  ARLINGTON, TX 76013-4211 US
Tel: 817-429-1645  Fax: 817-451-3796

Registration Information:
NPI: 1427080845
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2085R0202XAllopathic & Osteopathic Physicians
Radiology
Diagnostic Radiology
TXD2754

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
C13798TX05




HEALTH CARE JOBS TX - Page 1



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