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Contact Information

MAXIE BREWER, DO, MS
1500 W ROSEDALE ST
FORT WORTH, TX76104
 Phone: 682-885-1475
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MAXIE BREWER · (Female)

NPI # 1033504535
Status Active
Credentials DO, MS
Entity Individual
Enumeration date 04/01/2015
Last updated 09/17/2018 - About 12 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # R6765
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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