Provider Demographics
NPI:1366476285
Name:BROOKS, KAREN JEAN (MD)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JEAN
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:800 W JEFFERSON ST
Mailing Address - Street 2:150
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-6329
Mailing Address - Country:US
Mailing Address - Phone:956-544-8144
Mailing Address - Fax:956-544-8142
Practice Address - Street 1:800 W JEFFERSON ST
Practice Address - Street 2:150
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-6329
Practice Address - Country:US
Practice Address - Phone:956-544-8144
Practice Address - Fax:956-544-8142
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2015-11-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF54333208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXF54333Medicare UPIN