Provider Demographics
NPI:1295616209
Name:BROOKS, CHRISTINA EVETT
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:EVETT
Last Name:BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TIMOTHY
Other - Middle Name:JEROME
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7122 DAHLIA RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-7028
Mailing Address - Country:US
Mailing Address - Phone:281-515-9057
Mailing Address - Fax:
Practice Address - Street 1:7122 DAHLIA RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-7028
Practice Address - Country:US
Practice Address - Phone:281-515-9057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle