Provider Demographics
NPI:1225799828
Name:BROOKS JENKINS, LLC
Entity Type:Organization
Organization Name:BROOKS JENKINS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-913-1505
Mailing Address - Street 1:3550 PARKWOOD BLVD STE 201A
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-2048
Mailing Address - Country:US
Mailing Address - Phone:504-913-1505
Mailing Address - Fax:
Practice Address - Street 1:3550 PARKWOOD BLVD STE 201A
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-2048
Practice Address - Country:US
Practice Address - Phone:469-588-1260
Practice Address - Fax:214-975-2356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory