Rhodabeca R Brooks, PA
Physician Assistant in College Station, TX. Individual provider (NPI-1).
NPI number1689651986
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1689651986
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rhodabeca R Brooks
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 28, 2005
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA07031 | TX | Yes |
| 363A00000X | Physician Assistant | PA00774 | OR | |
| 363AM0700X | Physician Assistant, Medical | PA07031 | TX | |
| 363AM0700X | Physician Assistant, Medical | PA10003761 | WA |
Practice location
1700 University Dr ECollege Station, TX 77840-2661
Phone 979-691-3300 · Fax 979-691-3527
Mailing address
Po Box 844658Dallas, TX 75284-4658
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