Individual
MICHELE L BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
4004 82ND ST, LUBBOCK, TX 79423-1900
(806) 722-3110
(806) 722-3115
Mailing address
PO BOX 16881, STE 35, LUBBOCK, TX 79490-6881
(806) 252-1507
(806) 785-4929
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172561601
—
TX
Enumeration date
06/30/2006
Last updated
02/25/2016
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