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Individual

DAYTRAL M BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
103A WOODBINE PL, LONGVIEW, TX 75601-2912
(903) 212-7788
(903) 212-7789
Mailing address
PO BOX 883, LONGVIEW, TX 75606-0883
(903) 212-7788
(903) 212-7789

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP120067
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
AP120067
TX
364SF0001X
Family Health Clinical Nurse Specialist
692645
TX

Other

Enumeration date
03/07/2011
Last updated
11/28/2021
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