Provider Demographics
NPI:1114920626
Name:CASH, BROOKS DICKSON (MD)
Entity Type:Individual
Prefix:DR
First Name:BROOKS
Middle Name:DICKSON
Last Name:CASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6431 FANNIN ST
Mailing Address - Street 2:MSB 4.234
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-5389
Mailing Address - Country:US
Mailing Address - Phone:713-500-6672
Mailing Address - Fax:713-500-6699
Practice Address - Street 1:6400 FANNIN ST STE 1400
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1512
Practice Address - Country:US
Practice Address - Phone:713-500-6672
Practice Address - Fax:713-500-6699
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR5984207RG0100X, 207RG0100X
AL32669207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDVAD000Medicare UPIN