RALPH A BROOKS, M.D. LLC
Dermatology at 9 Ave, Fort Worth, TX

License number
Texas H3656
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. RALPH A BROOKS MD
Title: OWNER/DOCOTR
Phone: (817) 870-9718
Address
Address
9Th Ave STE 405, Fort Worth, TX 76104
National Provider ID: 1437550613
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RALPH A BROOKS MD LLC

909 9 Ave STE 405, Fort Worth, TX 76104

Industry:
Medical Doctor's Office, Dermatologist
Doing business as:
Ralph A Brooks MD LLC
Registration:
Aug 15, 2013
Site:
drralphbrooks.com
Description:
There is 1 doctor at this site. Surgery is not performed at this site.
State ID:
0801835109
Business type:
Domestic Limited Liability Company (LLC)
MEMBER, Director, Members:
Isabella M Brooks (MEMBER, Director, Member), 909 9 Ave STE 405, Fort Worth, TX 76104,Ralph A Brooks (MEMBER, Director, Member), 909 9 Ave STE 405, Fort Worth, TX 76104
Agent:
Ralph A. Brooks,909 9 Ave, Fort Worth, TX 76104 (Physical)
TIN:
32051758947

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