Provider Demographics
NPI:1710079868
Name:BROOKS-CARTER, GIZELLE NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:GIZELLE
Middle Name:NICOLE
Last Name:BROOKS-CARTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5001 NAVIGATION BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77011-1019
Mailing Address - Country:US
Mailing Address - Phone:713-926-1849
Mailing Address - Fax:713-926-3323
Practice Address - Street 1:7037 CAPITOL ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77011-4643
Practice Address - Country:US
Practice Address - Phone:832-494-1610
Practice Address - Fax:713-928-9561
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2010-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0360207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1710079868OtherBLUE CROSS BLUE SHIELD
TX171813202Medicaid
TX1710079868OtherBLUE CROSS BLUE SHIELD
TX171813202Medicaid
TX8D3491Medicare PIN