MEDICARE: MRS. SHEILA DENISE BROOKS FNP-C

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	363LF0000X	Family Nurse Practitioner	AP142583	TX

General Provider Information

NPI Number	:	1265087027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEILA DENISE BROOKS FNP-C

Provider Business Mailing Address
First Line	:	420 WROUGHT IRON DR
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-7493
Country	:	US
Telephone Number	:	254-213-8588
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 W CENTRAL TEXAS EXPY STE 125
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1996
Country	:	US
Telephone Number	:	254-618-1020
Fax Number	:

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

Provider Enumeration Date	:	08/07/2019
Last Update Date	:	10/28/2019

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