Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 1161167 | TX |
NPI | 1073667374 |
---|---|
Provider Name | Robin La Dawn Brown |
First Address | Houston, TX 77021-1549 |
Second Address | Pearland, TX 77584-8782 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 08/07/2007 |