Mr Jack Glen Brooks, MD is a
Radiology - Diagnostic Radiology physician based in Alrington, Texas. Mr Jack Glen Brooks is licensed to practice in Texas (license number D2754) and his current practice location is 601 W Arbrook Blvd, Healthsouth Diagnostic Center Of Arlington, Alrington, Texas. He can be reached at his office (for appointments etc.) via phone at
(817) 472-0801.
NPI number for Mr Jack Glen Brooks is 1427080845 and his current mailing address is 1824 Southpark Drive, Arlington, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1427080845.
Physician's Profile
| Full Name | Mr Jack Glen Brooks |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 601 W Arbrook Blvd, Alrington, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1427080845
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jack Glen Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427080845 | NPI | - | NPPES |
| C13798 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | D2754 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jack Glen Brooks is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jack Glen Brooks, MD
1824 Southpark Drive,
Arlington, TX 76013-4211
Ph: (817) 429-1645 | Mr Jack Glen Brooks, MD
601 W Arbrook Blvd, Healthsouth Diagnostic Center Of Arlington,
Alrington, TX 76014-3701
Ph: (817) 472-0801 |
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