Individual
RENAURD BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 FM 105, ORANGE, TX 77630-1272
(409) 883-8803
(409) 883-8803
Mailing address
2205 WOODLAWN ST, DERIDDER, LA 70634-2112
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2086860
TX
225200000X
Physical Therapy Assistant
A7698
LA
Other
Enumeration date
05/09/2014
Last updated
05/09/2014
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