Provider Demographics
NPI:1932928785
Name:TRAHAN, BROOKE (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:
Last Name:TRAHAN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2411 WASHINGTON AVE APT 172
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-6315
Mailing Address - Country:US
Mailing Address - Phone:512-993-9667
Mailing Address - Fax:
Practice Address - Street 1:7002 RIVERBROOK DR STE 800
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-6531
Practice Address - Country:US
Practice Address - Phone:281-721-4181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-08
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1077290363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health