Individual
MRS. CAROLYN ANTONIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 E ST HWY 121 STE 220, COPPELL, TX 75019-7958
(972) 745-7500
Mailing address
340 W CHERYL AVE, HURST, TX 76053-4541
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1099369
TX
Other
Enumeration date
11/22/2022
Last updated
11/22/2022
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