Organization Name: | PALO PINTO SURGICAL ASSOCIATES, P.A. |
NPI Number: | 1154428134 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RALPH HAMILTON BROOKSHIRE (OWNER) |
Mailing Address: | 101 Holly Hill Rd Suite A Mineral Wells |
State: | TX US |
Postal Code: | 760675043 |
Phone Number: | 9403250742 |
Fax Number: | 9403281030 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 08/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |