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NPI Code Detail

MEDICARE: SHIANA BROWN

MEDICARE:   SHIANA  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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100000000OTHERN/A

General Provider Information

NPI Number : 1215502455
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIANA BROWN
Provider Business Mailing Address
First Line : 9907 UP COUNTRY LN
Second Line :
City : CONROE
State : TX
Zip : 77385-2013
Country : US
Telephone Number : 772-240-2681
Fax Number :
Provider Business Practice Location Address
First Line : 8701 NEW TRAILS DR STE 118
Second Line :
City : SPRING
State : TX
Zip : 77381-4241
Country : US
Telephone Number : 281-292-6471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2021
Last Update Date : 05/20/2021

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Directions to “ SHIANA BROWN ” Practice Location

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