RUSANA BROOKS NPI 1225402043

NPI Information

NPI: 1225402043
Provider Name: RUSANA BROOKS
Classification: Point of Service - 305S00000X
Entity Type: Individual
Address:
4139 BRIARGLEN
SAN ANTONIO, TX
ZIP 78218
Phone: (210) 590-8927
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Rusana Brooks is a point of service in San Antonio, TX. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. Rusana Brooks NPI is 1225402043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4139 BRIARGLEN
SAN ANTONIO, TX
ZIP 78218-521
Phone: (210) 590-8927

The enumeration date for this NPI number is 11/17/2015 and was last updated on 11/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305S00000X	Point of Service		141582	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105931	OTHER	TEXAS	STATE LICENSE ASSISTED LIVING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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