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1124197173
LISA DANIELLE BROSTROM
FORT SAM HOUSTON, TX
NPI
1124197173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208200000X Plastic Surgery
(Licence: TX L4266)
Enumeration Date
2006-11-06
Last Update Date
2019-09-12
Business Address
Dr. LISA DANIELLE BROSTROM MD, FACS
3551 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-269-6113
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Mailing Address
Dr. LISA DANIELLE BROSTROM MD, FACS
3551 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-269-6113
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