Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 551066 | TX |
NPI | 1356672679 |
---|---|
Provider Name | Ms. Margaret Mary Brown |
First Address | Round Rock, TX 78664-7766 |
Second Address | Round Rock, TX 78664-7766 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2010 |
Last Update Date | 26/01/2010 |