Provider Demographics
NPI:1437507324
Name:ROOKS, MONIQUE N (LVN)
Entity Type:Individual
Prefix:MRS
First Name:MONIQUE
Middle Name:N
Last Name:ROOKS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1223 GRANGER DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8574
Mailing Address - Country:US
Mailing Address - Phone:214-457-8887
Mailing Address - Fax:
Practice Address - Street 1:1223 GRANGER DR
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8574
Practice Address - Country:US
Practice Address - Phone:214-457-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX188328164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse