Provider Demographics
NPI:1710689625
Name:EB TROOKER HEALTH SERVICES INC
Entity Type:Organization
Organization Name:EB TROOKER HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EBIKE
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:ALE-OPINION
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C, PMHNP-BC
Authorized Official - Phone:346-588-0731
Mailing Address - Street 1:19318 STANTON LAKE DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4094
Mailing Address - Country:US
Mailing Address - Phone:346-588-0731
Mailing Address - Fax:650-810-7917
Practice Address - Street 1:19318 STANTON LAKE DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-4094
Practice Address - Country:US
Practice Address - Phone:346-588-0731
Practice Address - Fax:650-810-7917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty