Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | P0351 | TX |
NPI | 1326019571 |
---|---|
Provider Name | Kimberly M Brown |
First Address | Dallas, TX 75391-1230 |
Second Address | Austin, TX 78731-4214 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 04/01/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
101321837001 | (05) | PA |
285969602 | (05) | TX |
285969603 | (05) | TX |
I35800 | (02) |