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Individual

DR. RAY H. BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., P.C.

Contact information

Practice address
5502 58TH ST, #600, LUBBOCK, TX 79414-2000
(806) 792-3808
(806) 792-1506
Mailing address
5502 58TH ST, #600, LUBBOCK, TX 79414-2000
(806) 792-3808
(806) 792-1506

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-1602
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0338899-01
TX
01
136097100
COMPCARE
TX
01
HM75
BC/BS
TX
Enumeration date
07/19/2005
Last updated
12/07/2010
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