Provider Demographics
NPI:1992200471
Name:BROOKS, BRAONNA
Entity Type:Individual
Prefix:
First Name:BRAONNA
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5938 SCHROEDER RD APT 2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-3554
Mailing Address - Country:US
Mailing Address - Phone:281-857-5904
Mailing Address - Fax:
Practice Address - Street 1:5938 SCHROEDER RD APT 2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-3554
Practice Address - Country:US
Practice Address - Phone:281-857-5904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide