MEDICARE: TEIRA BROWN

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
1	163W00000X	Registered Nurse	804345	TX
2	163WA2000X	Administrator Registered Nurse	804345	TX
3	163WC1500X	Community Health Registered Nurse	804345	TX
4	163WG0000X	General Practice Registered Nurse	804345	TX
5	163WH1000X	Hospice Registered Nurse	804345	TX
6	163WI0500X	Infusion Therapy Registered Nurse	804345	TX
7	251F00000X	Home Infusion Agency
8	253Z00000X	In Home Supportive Care Agency
9	364SH0200X	Home Health Clinical Nurse Specialist	804345	TX
10	163WH0200X	Home Health Registered Nurse	804345	TX

General Provider Information

NPI Number	:	1124850664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEIRA BROWN

Provider Business Mailing Address
First Line	:	3220 KIRBY DR STE 140
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5549
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3220 KIRBY DR STE 140
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-5549
Country	:	US
Telephone Number	:	832-472-0065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/14/2024

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Directions to “ TEIRA BROWN ” Practice Location

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