| Doctor Name: | VICKI D BROOKS |
| NPI Number: | 1063469559 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 604324 |
| Business Practice Address: | 214 Sw 26th Ave Suite D Mineral Wells, TX - 760678249 |
| Business Phone Number: | 9403259485 |
| Business Fax Number: | 9403254325 |
| Mailing Address: | 214 Sw 26th Ave, Suite D MINERAL WELLS |
| State: | TX |
| Postal Code: | 760678249 |
| Phone Number: | 9403259485 |
| Fax Number: | 9403254325 |
| NPI Enumeration Date: | 05/28/2006 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 604324 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |