Travis, Brooke Michelle

Travis, Brooke Michelle is an individual health care provider with primary practice located at 6411 Fannin St , Houston TX 77030-1501. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care is her primary health care specialty. Travis, Brooke Michelle can be contacted via phone (817) 480-7879.

Contact Information

Primary practice address
6411 Fannin St Houston TX 77030-1501
Phone: (817) 480-7879
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 878713 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 202213611 Texas

Profile Details

NPI number 1528791399
LBN Legal business name Travis, Brooke Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2022
Last updated Jul 14th, 2022 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528791399 NPPES
Other 0 DO NOT HAVE

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