Individual
KHADIJA W BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9850C EMMETT F LOWRY EXPY STE C103, TEXAS CITY, TX 77591-2122
(409) 938-2234
(409) 938-2200
Mailing address
2205 W WALKER ST APT 1223, LEAGUE CITY, TX 77573-6889
(318) 617-5650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-202068
AL
363LP2300X
Primary Care Nurse Practitioner
AP143146
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
843631
NURSING LICENSE
TX
Enumeration date
05/04/2021
Last updated
03/13/2025
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