Provider Demographics
NPI:1558090175
Name:BROOKS, SHEILA GAIL (RNBC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:GAIL
Last Name:BROOKS
Suffix:
Gender:F
Credentials:RNBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13088 CR 1141
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75709
Mailing Address - Country:US
Mailing Address - Phone:903-571-4534
Mailing Address - Fax:
Practice Address - Street 1:13088 CR 1141
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75709
Practice Address - Country:US
Practice Address - Phone:903-571-4534
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-08
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant