Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEANGELO BROOKS
Active Sole ProprietorDEANGELO BROOKS is a Military Health Care Provider healthcare provider located in SHREVEPORT, Louisiana. NPI 1114495603 is currently active in the NPPES registry. Verify at CMS.
Military Health Care Provider · SHREVEPORT, LA
Registration Details
- NPI Number
- 1114495603
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2018 (7.8002699609873 yrs)
- Last Updated
- Sep 22, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1105 ISLAND PARK BLVD APT 1126SHREVEPORT, LA, 711054783Browse LA providers · Browse ZIP 71105
- Phone
- 3184047134
- Primary Specialty
-
Military Health Care Provider
171000000X
- Additional Specialty
- Military Health Care Provider
Other Military Health Care Provider Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MISS JESSICA JAMISON | PROVIDER | 1194871731 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.