Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | P1971 | TX |
Y | 2080P0210X | Pediatric Nephrologist | P1971 | TX |
NPI | 1699700740 |
---|---|
Provider Name | Dr. Elizabeth J. Brown |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 18/07/2019 |