Basic Information
| Provider Information | |||||||||
| NPI: | 1083095152 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HASBROOK | ||||||||
| FirstName: | CAROLINE | ||||||||
| MiddleName: | |||||||||
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| OtherLastName: | HOOKER | ||||||||
| OtherFirstName: | CAROLINE | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 12727 KIMBERLEY LN | ||||||||
| Address2: | STE 104 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770244047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7133659338 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 12727 KIMBERLEY LN | ||||||||
| Address2: | STE 104 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770244047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7133659338 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2015 | ||||||||
| LastUpdateDate: | 03/22/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.