Provider Demographics
NPI:1558327502
Name:MCBROOM, ROBERT L JR (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:L
Last Name:MCBROOM
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1601 BROOK AVE
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76301-5619
Mailing Address - Country:US
Mailing Address - Phone:940-723-9226
Mailing Address - Fax:940-723-9217
Practice Address - Street 1:1601 BROOK AVE
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76301-5619
Practice Address - Country:US
Practice Address - Phone:940-723-9226
Practice Address - Fax:940-723-9217
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2020-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXF6922207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX134085303Medicaid
TX00K93TMedicare PIN