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Individual

MR. TERRY LENNELL BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HUB CERTIFIED

Contact information

Practice address
3115 WASHINGTON BLVD, BEAUMONT, TX 77705-1359
(409) 842-5005
(888) 503-0567
Mailing address
6487 TAHOE DR, BEAUMONT, TX 77708-1228
(409) 434-4436
(888) 503-0567

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TX

Other

Enumeration date
11/12/2012
Last updated
11/12/2012
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