Provider Demographics
NPI:1255365789
Name:SHOOK, BRENT ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:ANDREW
Last Name:SHOOK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3786 FM 1488 RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77384-4989
Mailing Address - Country:US
Mailing Address - Phone:281-364-8844
Mailing Address - Fax:281-364-8833
Practice Address - Street 1:8850 SIX PINES DRIVE
Practice Address - Street 2:SUITE 290
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1193
Practice Address - Country:US
Practice Address - Phone:281-364-8844
Practice Address - Fax:281-364-8833
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-10-27
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Provider Licenses
StateLicense IDTaxonomies
TXL3475207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F3148Medicare PIN