Individual
HEIDI MCBROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
31 MILL CREEK DR, WILLIS, TX 77378-2509
(713) 294-4221
Mailing address
31 MILL CREEK DR, WILLIS, TX 77378-2509
(713) 294-4221
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
937470
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
937470
TEXAS BOARD OF NURSING
TX
Enumeration date
07/25/2018
Last updated
07/25/2018
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