Organization
BROWN WOLF LLC
Active
Parent organization
BROWN WOLF LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BROWN WOLF LLC
Authorized official
JANA MCGAHAN (BILLING MGR)
(469) 769-1961
Entity
Organization
Contact information
Practice address
1005 W RALPH HALL PKWY STE 107, ROCKWALL, TX 75032-6663
(469) 769-1961
(469) 769-1905
Mailing address
1005 W RALPH HALL PKWY STE 107, ROCKWALL, TX 75032-6663
(469) 769-1961
(469) 769-1905
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
12/23/2024
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