Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | MD449883 | PA |
Y | 207VX0201X | Gynecologic Oncologist | R7960 | TX |
NPI | 1407083645 |
---|---|
Provider Name | Jennifer Lashal Brown |
First Address | El Paso, TX 79905-2707 |
Second Address | El Paso, TX 79905-2707 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2009 |
Last Update Date | 09/11/2020 |