Provider Demographics
NPI:1932228004
Name:BROOKS, PRIANGLAM (FNP)
Entity Type:Individual
Prefix:MS
First Name:PRIANGLAM
Middle Name:
Last Name:BROOKS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8323 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 590
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1615
Mailing Address - Country:US
Mailing Address - Phone:281-974-1907
Mailing Address - Fax:281-974-2692
Practice Address - Street 1:8323 SOUTHWEST FWY
Practice Address - Street 2:SUITE 590
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1615
Practice Address - Country:US
Practice Address - Phone:281-974-1907
Practice Address - Fax:281-974-2692
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000012468363LF0000X
TX784525363LF0000X
ARA03086363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily