Brooke Diane Mingenback in Arlington - Physician Assistant
Brooke Diane Mingenback - NPI 1790884534
Brooke Diane Mingenback is a Physician Assistant in Arlington, Texas. Brooke Diane Mingenback practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brooke Diane Mingenback is 1790884534. The last update date is 2008-09-10.
Brooke Diane Mingenback's current location address is Po Box 120489, Arlington, Texas. You can contact this provider via phone number 8173755200 and fax number 8172991731. The mailing address for Brooke Diane Mingenback is Po Box 120489, Arlington, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brooke Diane Mingenback |
|---|---|
| Address | Po Box 120489, Arlington, Texas |
| Phone Number | 8173755200 |
| Fax Number | 8172991731 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1790884534 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2008-09-10 |
Provider Mailing Address Detail
| Address | Po Box 120489 |
|---|---|
| City | Arlington |
| State | Texas (TX) |
| Post Code | 760120489 |
| Phone Number | 8173755200 |
| Fax Number | 8172991731 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA04987 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identification code issued to Brooke Diane Mingenback by the Centers for Medicare & Medicaid Services?
The Brooke Diane Mingenback has been assigned the NPI (National Provider Identifier) 1790884534 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Brooke Diane Mingenback?
The Brooke Diane Mingenback is physically situated at Po Box 120489, in the city of Arlington, state of TX, with the postal code 760120489.
What is Brooke Diane Mingenback's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brooke Diane Mingenback is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1790884534 to Brooke Diane Mingenback?
The Brooke Diane Mingenback received its 1790884534 assignment from the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date were the details related to Brooke Diane Mingenback most recently updated or revised?
The information pertaining to Brooke Diane Mingenback, including its address, specialty, and other relevant details, was last updated or revised on 2008-09-10.