Wichita Falls Infectious Disease Assoc. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

F6922 Issued in TX

Legal business name

WICHITA FALLS INFECTIOUS DISEASE ASSOC. P.A.

Doing business as

Robert L McBroom MD

Practice address

1601 Brook Ave
Wichita Falls, TX 76301-5619

Phone

(940) 723-9226

Fax

(940) 723-9217

NPI assigned

Aug 10, 2006

Last updated

Mar 17, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary M Brooking, CMOM, CMIS

Title

Administrator

Phone

(940) 723-9226

Specialties & licenses 1

Addresses

Other names 1

• ROBERT L MCBROOM MD Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1265443030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-723-9226",
            "fax_number": "940-723-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BROOK AVE",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015619",
            "telephone_number": "940-723-9226",
            "fax_number": "940-723-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA FALLS INFECTIOUS DISEASE ASSOC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "BROOKING",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-723-9226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMOM, CMIS"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F6922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROBERT L MCBROOM MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Wichita Falls, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.