Provider Demographics
NPI:1659544641
Name:HOBGOOD, BROOKE LEANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:LEANNE
Last Name:HOBGOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:LEANNE
Other - Last Name:WOMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6202 IOLA AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2729
Mailing Address - Country:US
Mailing Address - Phone:806-799-2093
Mailing Address - Fax:806-783-0277
Practice Address - Street 1:10105 QUAKER AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-7380
Practice Address - Country:US
Practice Address - Phone:806-438-3544
Practice Address - Fax:806-209-5141
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP2871207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8DF838OtherBCBS