Individual provider · Type 1 NPI

Brooke Dominique Birks

Student in an Organized Health Care Education/Training Program · Conroe, TX

NPI number 1639874142 Active

Practice location

925 City Central Ave
Conroe, TX 77304-2981

Call (936) 202-5202 Map

Mailing address

1100 S Loop 336 W Apt 2327
Conroe, TX 77304-3332

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X5151017172 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1639874142

Brooke Dominique Birks's National Provider Identifier is 1639874142, issued on Apr 3, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Conroe, TX. The record was last updated on Apr 29, 2025.