Provider Demographics
NPI:1538406939
Name:WUERDEMANN, BROOKS (DCEM, MOM, LAC)
Entity type:Individual
Prefix:DR
First Name:BROOKS
Middle Name:
Last Name:WUERDEMANN
Suffix:
Gender:M
Credentials:DCEM, MOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 P B LN # W2051
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76302-2612
Mailing Address - Country:US
Mailing Address - Phone:831-275-3910
Mailing Address - Fax:
Practice Address - Street 1:1530 P B LN # W2051
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76302-2612
Practice Address - Country:US
Practice Address - Phone:831-275-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02028171100000X
WAACUP.AC.61513282171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist