Organization
DEANDRE BROWN MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRE A BROWN MD (PRESIDENT)
(214) 870-8133
Entity
Organization
Contact information
Practice address
7227 CANA, GRAND PRAIRIE, TX 75054-6860
(214) 870-8133
Mailing address
PO BOX 543539, GRAND PRAIRIE, TX 75054-3539
(214) 870-8133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N0664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051TD
BCBS
TX
01
—
N0664
LICENCE
TX
01
—
TXB100266
MEDICARE
TX
Enumeration date
01/04/2010
Last updated
06/26/2015
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