Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1178327 | TX |
N | 2251C2600X | Cardiopulmonary | 1178327 | TX |
NPI | 1770996886 |
---|---|
Provider Name | Dr. Christopher Brown |
First Address | Shenandoah, TX 77385-8783 |
Second Address | Shenandoah, TX 77385-8783 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2014 |
Last Update Date | 11/02/2019 |