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Individual

BROOKE MICHELLE TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
18200 KATY FWY, HOUSTON, TX 77094-1285
(817) 480-7879
Mailing address
6007 SANDIA LAKE LN, HOUSTON, TX 77041-6162
(817) 480-7879

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
878713
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
202213611
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0
DO NOT HAVE
Enumeration date
07/07/2022
Last updated
05/14/2025
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