MEDICARE: GIZELLE NICOLE BROOKS-CARTER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	M0360	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1710079868	OTHER	TX	BLUE CROSS BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710079868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GIZELLE NICOLE BROOKS-CARTER M.D.

Provider Business Mailing Address
First Line	:	5001 NAVIGATION BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-1019
Country	:	US
Telephone Number	:	713-926-1849
Fax Number	:	713-926-3323

Provider Business Practice Location Address
First Line	:	7037 CAPITOL ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4643
Country	:	US
Telephone Number	:	832-494-1610
Fax Number	:	713-928-9561

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	02/28/2010

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