Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 66885 | TX |
NPI | 1053678607 |
---|---|
Provider Name | Mr. Christopher Wayne Brown |
First Address | Pearland, TX 77584-1786 |
Second Address | Pearland, TX 77584-1786 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2012 |
Last Update Date | 20/04/2012 |