Provider Demographics
NPI:1225639750
Name:BROOKS, LAURA (RDN, LD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16115 PORT BARROW DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-8208
Mailing Address - Country:US
Mailing Address - Phone:832-408-0225
Mailing Address - Fax:832-271-6333
Practice Address - Street 1:12254 QUEENSTON BLVD STE E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-5357
Practice Address - Country:US
Practice Address - Phone:832-408-0225
Practice Address - Fax:832-271-6333
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-02
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT86785133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered