Brooks, Khadija W
Brooks, Khadija W is an individual health care provider with primary practice located at 9850C Emmett F Lowry Expy Ste C103 , Texas City TX 77591-2122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brooks, Khadija W can be contacted via phone (409) 938-2234.Contact Information
Primary practice address
9850C Emmett F Lowry Expy Ste C103
Texas City TX 77591-2122
Phone: (409) 938-2234
Fax: (409) 938-2200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | AP143146 | Texas |
Profile Details
| NPI number | 1255914461 |
|---|---|
| LBN Legal business name | Brooks, Khadija W |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2021 |
| Last updated | Apr 12th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255914461 | NPPES |
| Texas | Other | 843631 | NURSING LICENSE |
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