Organization
CENTRAL TEXAS MEDICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRE BROWN MD (MEMBER)
(214) 870-8133
Entity
Organization
Contact information
Practice address
7227 CANA, GRAND PRAIRIE, TX 75054-6860
(214) 870-8133
(817) 592-3025
Mailing address
PO BOX 543539, GRAND PRAIRIE, TX 75054-3539
(214) 870-8133
(817) 592-3025
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
N0664
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0664
MEDICAL LICENCE
TX
Enumeration date
02/04/2012
Last updated
02/04/2012
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