Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | L7318 | TX |
Y | 2080P0207X | Pediatric Hematology-Oncologist | L7318 | TX |
NPI | 1083658009 |
---|---|
Provider Name | Deborah L Brown |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-3000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
160518001 | (05) | TX |
160518002 | CSHCN (01) | TX |
8J5403 | BCBS (01) | TX |
E55806 | (02) | TX |
P00076539 | RAILROAD MEDICARE (01) | TX |