Brooks, Charles Athan

Brooks, Charles Athan is an individual health care provider with primary practice located at 1195 Garner Field Rd Bldg A, Suite 100, Uvalde TX 78801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Brooks, Charles Athan can be contacted via phone (830) 278-6200.

Contact Information

Primary practice address
1195 Garner Field Rd Bldg A, Suite 100 Uvalde TX 78801
Phone: (830) 278-6200
Fax: (830) 278-6202
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X ME59489 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X R5519 Texas

Profile Details

NPI number 1801894761
LBN Legal business name Brooks, Charles Athan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 4th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801894761 NPPES
Florida MEDICAID 371701100
Florida MEDICAID 2876633-01
Florida Other 631214ZM4M

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