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NPI Code Detail

MEDICARE: CAMERON SEYMOUR BROWN PT, DPT

MEDICARE:   CAMERON SEYMOUR BROWN  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1388709TX

General Provider Information

NPI Number : 1093540049
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON SEYMOUR BROWN PT, DPT
Provider Business Mailing Address
First Line : 2111 LINGNER DR
Second Line :
City : TYLER
State : TX
Zip : 75701-3522
Country : US
Telephone Number : 903-235-2792
Fax Number :
Provider Business Practice Location Address
First Line : 4882 HIGHTECH DR
Second Line :
City : TYLER
State : TX
Zip : 75703-2613
Country : US
Telephone Number : 903-300-0234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2024
Last Update Date : 07/24/2025

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Directions to “ CAMERON SEYMOUR BROWN PT, DPT” Practice Location

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