Individual provider · NPI-1

Cheryl Brackens, NP

Nurse Practitioner, Family · League City, TX

NPI number1063590099
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063590099
Entity type
Individual (NPI-1)
Name
Cheryl Brackens
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Nov 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family637929TXYes

Practice location

2955 Gulf Fwy S
League City, TX 77573-6750

Phone 713-935-0333

Mailing address

6006 Pinacle Pt
Houston, TX 77085-1408

Phone 713-726-1600

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