MEDICARE: YVETTE CHIOMA 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1228099	TX

General Provider Information

NPI Number	:	1487136891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YVETTE CHIOMA BROOKS

Provider Business Mailing Address
First Line	:	10410 GUIDING STAR LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-3433
Country	:	US
Telephone Number	:	832-279-5945
Fax Number	:

Provider Business Practice Location Address
First Line	:	10907 STARLING CREEK DR
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77406-4363
Country	:	US
Telephone Number	:	281-673-5462
Fax Number	:

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

Provider Enumeration Date	:	08/31/2018
Last Update Date	:	03/09/2026

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