Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 1328 | TX |
N | 222Z00000X | Podiatrist | 1328 | TX |
Y | 224P00000X | Prosthetist | 1328 | TX |
NPI | 1427290527 |
---|---|
Provider Name | Hailey Rene Brown |
First Address | Austin, TX 78723-3080 |
Second Address | Austin, TX 78723-3080 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2009 |
Last Update Date | 19/11/2014 |