Individual
ANDREA VERNELL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
526 E PLEASANT RUN RD, DESOTO, TX 75115-4019
(972) 223-4420
(972) 274-1167
Mailing address
526 E. PLEASANT RUN RD, DESOTO, TX 75115-4019
(972) 223-4420
(972) 274-1167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K1779
TX
302F00000X
Exclusive Provider Organization
K1779
TX
302R00000X
Health Maintenance Organization
K1779
TX
305R00000X
Preferred Provider Organization
K1779
TX
305S00000X
Point of Service
K1779
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1798340
—
TX
Enumeration date
08/19/2006
Last updated
03/15/2011
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