Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 4414 | TX |
NPI | 1396879326 |
---|---|
Provider Name | Dr. Sonia Doreen Brown-Stewart |
First Address | Missouri City, TX 77489-4087 |
Second Address | Missouri City, TX 77489-4087 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 08/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
601737 | BLUE CROSS BLUE SHIELD (01) | TX |
C22281 | (02) | TX |