Mr Mark T Middlebrooks, LCSW | |
614 W Main St, #102, League City, TX 77573-3771 | |
(281) 332-4396 | |
Not Available |
Full Name | Mr Mark T Middlebrooks |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 40 Years |
Location | 614 W Main St, League City, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679692073 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10869 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Texas Medical Branch Faculty Group Practice | 3375456734 | 883 |
Entity Name | Utmb Faculty Group Practice |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark T Middlebrooks, LCSW 614 W Main St, #102, League City, TX 77573-3771 Ph: (281) 332-4396 | Mr Mark T Middlebrooks, LCSW 614 W Main St, #102, League City, TX 77573-3771 Ph: (281) 332-4396 |
Patricia Jane Lachance, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 620 3rd St, League City, TX 77573 Phone: 281-338-2218 | |
Faith Lemon Larson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2405 Casa Grande Dr, League City, TX 77573 Phone: 832-425-1342 | |
Katerina Hewson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4706 Hermosa Arroyo Dr, League City, TX 77573 Phone: 713-253-1433 | |
Jill Elise Gay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 E Main St, League City, TX 77573 Phone: 281-585-7513 | |
Donna Fasullo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3027 Marina Bay Dr, Suite 110, League City, TX 77573 Phone: 713-687-7644 Fax: 281-240-6481 | |
Ms. Linda L Richards, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2951 Marina Bay Dr Ste 130-399, League City, TX 77573 Phone: 409-218-6944 | |
Ms. Regina M Andrews-duarte, MSW LCSW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2630 Swift Creek Dr, League City, TX 77573 Phone: 409-939-6383 Fax: 281-534-3464 |