Provider Demographics
NPI:1477056000
Name:RMC BROOKHOLLOW MED & AESTHETICS INC
Entity Type:Organization
Organization Name:RMC BROOKHOLLOW MED & AESTHETICS INC
Other - Org Name:BROOKHOLLOW MEDICAL & AESTHETICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-632-5839
Mailing Address - Street 1:14990 NORTHWEST FWY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-4025
Mailing Address - Country:US
Mailing Address - Phone:346-774-2132
Mailing Address - Fax:
Practice Address - Street 1:14990 NORTHWEST FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-4025
Practice Address - Country:US
Practice Address - Phone:346-774-2132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-09
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty