Provider Demographics
NPI:1902525421
Name:BROBBEY, EDWARD KWABENA
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:KWABENA
Last Name:BROBBEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 ROLIDO DR APT 233
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-4383
Mailing Address - Country:US
Mailing Address - Phone:281-781-9204
Mailing Address - Fax:
Practice Address - Street 1:2800 ROLIDO DR APT 233
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-4383
Practice Address - Country:US
Practice Address - Phone:281-781-9204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program