Provider Demographics
NPI:1235596339
Name:FERREIRA, BROOKE (DC)
Entity Type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 W MOORE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TERRELL
Mailing Address - State:TX
Mailing Address - Zip Code:75160-3144
Mailing Address - Country:US
Mailing Address - Phone:469-610-6220
Mailing Address - Fax:469-533-3935
Practice Address - Street 1:702 W MOORE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TERRELL
Practice Address - State:TX
Practice Address - Zip Code:75160-3144
Practice Address - Country:US
Practice Address - Phone:469-610-6220
Practice Address - Fax:469-533-3935
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13024111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor