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Individual
MRS. LAYNE BROWN
Active
Individual
MRS. LAYNE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA06543
TX
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083942007
BLUE CROSS BLUE SHIELD
TX
05
—
210072901
—
TX
05
—
210072902
—
TX
05
—
210072903
—
TX
05
—
210072904
—
TX
01
—
P01031215
RR MEDICARE
TX
01
—
P10192498
RR MEDICARE
TX
Enumeration date
12/02/2009
Last updated
05/21/2015
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