Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | E-4821 | AR |
N | 207P00000X | Emergency Physician | N6147 | TX |
Y | 207QS0010X | Family Doctor - Sports Medicine | E-4821 | AR |
N | 207QS0010X | Family Doctor - Sports Medicine | N6147 | TX |
NPI | 1255449245 |
---|---|
Provider Name | Dr. Darrin Ashbrooks |
First Address | Texarkana, TX 75503-2560 |
Second Address | Texarkana, TX 75503-2560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 17/01/2021 |