Lisa Danielle Brostrom in Fort Sam Houston - Plastic Surgery
Lisa Danielle Brostrom - NPI 1124197173
Lisa Danielle Brostrom is a Plastic Surgery in Fort Sam Houston, Texas. Lisa Danielle Brostrom practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Lisa Danielle Brostrom is 1124197173. The last update date is 2019-09-12.
Lisa Danielle Brostrom's current location address is 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, Texas. You can contact this provider via phone number 2102696113. The mailing address for Lisa Danielle Brostrom is 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Danielle Brostrom |
|---|---|
| Address | 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, Texas |
| Phone Number | 2102696113 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD, FACS |
NPI Number Detail
| NPI Number | 1124197173 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2019-09-12 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr Bldg 3600 |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2102696113 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | L4266 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Post Comment/ Review Below
What is the unique identifier code issued to Lisa Danielle Brostrom by the Centers for Medicare & Medicaid Services?
The Lisa Danielle Brostrom has been assigned the NPI (National Provider Identifier) 1124197173. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Lisa Danielle Brostrom is physically located?
The Lisa Danielle Brostrom is situated at the following address: 3551 Roger Brooke Dr Bldg 3600, Fort Sam Houston, TX 782344504.
What is Lisa Danielle Brostrom's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Danielle Brostrom is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.
On what date did Lisa Danielle Brostrom receive its 1124197173 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Danielle Brostrom was assigned its 1124197173 on 2006-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lisa Danielle Brostrom last refreshed?
The information related to the Lisa Danielle Brostrom, including its address, specialty, and other relevant details, was last updated on 2019-09-12.