MEDICARE: FRANCHELLE BROOKS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171W00000X	Contractor

General Provider Information

NPI Number	:	1104245497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCHELLE BROOKS

Provider Business Mailing Address
First Line	:	3168 HOLLY HALL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4135
Country	:	US
Telephone Number	:	832-614-2833
Fax Number	:	281-754-4778

Provider Business Practice Location Address
First Line	:	3168 HOLLY HALL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-4135
Country	:	US
Telephone Number	:	832-614-2833
Fax Number	:	281-754-4778

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	04/15/2014

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Directions to “ FRANCHELLE BROOKS ” Practice Location

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