JACK G BROOKS MD PA (NPI# 1952694234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952694234 |
| Entity Type | Organization |
| Organization Name | JACK G BROOKS MD PA |
| Practice Address |
2726 Country Club Rd Arlington TX 76013-3100 |
| Practice Telephone | 8172747373 |
| Practice Fax Number | 8172741176 |
| Mailing Fax Number | 8172741176 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-06-01 |
| Authorized Official Name | DR. JACK G BROOKS (RADIOLOGIST) |
| Authorized Official Telephone | 8172747373 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
D2754 | TX | Ambulatory Health Care Facilities |
| Street Address |
2726 COUNTRY CLUB RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76013-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058608 | Elizabeth Ann Tufts | Occupational Therapist | 701 Buffalodr, Arlington, TX 76013 | 2020-03-17 |
| 1467087262 | Janet Kay Mcconnell | Nurse Practitioner | 3008 West Park Row, Arlington, TX 76013 | 2020-03-12 |
| 1922660281 | Debra Rockmore | Health Educator | 1148 W. Pioneer Pkwy, Arlington, TX 76013 | 2019-07-07 |
| 1164906830 | Misty Ely | Social Worker | 1615 W. Abram Street, Suite 200c, Arlington, TX 76013 | 2018-09-19 |
| 1457834194 | Queen Mercedes Bibbs | Licensed Vocational Nurse | 4046 Woodland Park Blvd, Apt 208, Arlington, TX 76013 | 2018-09-10 |
| 1487136560 | Ashtin Torrez | Specialist/Technologist | 801 Greek Row Dr., Arlington, TX 76013 | 2018-09-05 |
| 1467940759 | North Texas Nephrology Associates, P.a. | Nurse Practitioner | 1132 South Bowen Road, Arlington, TX 76013 | 2018-04-23 |
| 1659876787 | Matthew Long | Specialist/Technologist | 1300 Briarwood Blvd, Arlington, TX 76013 | 2018-03-29 |
| 1407358963 | Spencer Reed Coomer | Specialist/Technologist | 1300 Briarwood Boulevard, Arlington, TX 76013 | 2018-03-01 |
| 1881132454 | Lorinda March | Speech-Language Pathologist | 1405 Lyra Lane, Arlington, TX 76013 | 2017-02-03 |
| Find all providers in zip 76013 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1922048388 | Knott Spears Group, Inc | Clinic/Center | 1119 W Randol Mill Rd, # 104, Arlington, TX 76012-6509 | 2006-06-07 |
| 1801897905 | Imaging & Medical Diagnostic, P.a. | Clinic/Center | 3100 Matlock, Suite 105, Arlington, TX 76015-0429 | 2005-08-10 |
| 1649203324 | Diagnostic Neuroimaging, Lp | Clinic/Center | 800 W Arbrook Blvd, Ste. 300, Arlington, TX 76015-4327 | 2006-07-08 |
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| 1134738453 | Origin Mri and Diagnostics | Clinic/Center | 9135 Katy Fwy Ste 102, Houston, TX 77024-1636 | 2020-07-23 |
| 1538777123 | Lexington Medical Imaging, LLC | Clinic/Center | 15925 Lexington Blvd, Sugar Land, TX 77479-2314 | 2020-07-20 |
| 1871101899 | Blue Star Imaging Sa, LLC | Clinic/Center | 112 Herff Rd, Boerne, TX 78006-2747 | 2020-07-15 |
| 1396362836 | Parkhill Imaging Clearfork LLC | Clinic/Center | 5656 Edwards Ranch Rd Ste 100, Fort Worth, TX 76109-4136 | 2020-07-01 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| 1669093779 | Hi Tech Imaging, LLC | Clinic/Center | 423 Sw Military Dr, San Antonio, TX 78221-1654 | 2020-04-29 |
| 1861027120 | North Star Mcd, LLC | Clinic/Center | 3700 W 15th St Bldg D Ste 200, Plano, TX 75075 | 2020-03-06 |
| 1740814029 | Venus Mri & Women's Center, LLC | Clinic/Center | 24721 Tomball Pkwy Ste 150, Tomball, TX 77375-7727 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.