Provider Demographics
NPI:1083837090
Name:GEORGE A BROOKS PA
Entity Type:Organization
Organization Name:GEORGE A BROOKS PA
Other - Org Name:REGIONAL MEDICAL CENTER AND DIAGNOSTIC CLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ALFRED
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHD
Authorized Official - Phone:281-446-9676
Mailing Address - Street 1:1806 HUMBLE PLACE DRIVE
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5277
Mailing Address - Country:US
Mailing Address - Phone:281-446-9676
Mailing Address - Fax:281-446-8690
Practice Address - Street 1:1806 HUMBLE PLACE DRIVE
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77338-5277
Practice Address - Country:US
Practice Address - Phone:281-446-9676
Practice Address - Fax:281-446-8690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty