Organization
MAXWELL BROWN ENTERPRISE, LLC
Active
Other names
LEGACY HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOYCE ANN BROWN DO, MPH (PHYSICIAN/MEDICAL DIRECTOR)
(918) 408-5685
Entity
Organization
Contact information
Practice address
250 E APACHE ST, TULSA, OK 74106-3702
(918) 408-5685
Mailing address
10805 E 15TH PL, TULSA, OK 74128-4808
(918) 408-5685
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
202C00000X
Independent Medical Examiner Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
—
—
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/12/2020
Last updated
04/12/2020
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