Provider Demographics
NPI:1588690317
Name:BROOKS, FRANKLIN RAMON (PHD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:RAMON
Last Name:BROOKS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14607 SAN PEDRO SUITE 295
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4325
Mailing Address - Country:US
Mailing Address - Phone:107-223-4122
Mailing Address - Fax:210-598-9352
Practice Address - Street 1:14607 SAN PEDRO SUITE 295
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-4325
Practice Address - Country:US
Practice Address - Phone:107-223-4122
Practice Address - Fax:210-598-9352
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22724103TB0200X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154522001Medicaid