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NPI Code Detail

MEDICARE: CHAD E BROWNLOW RN, MSN, FNP

MEDICARE: CHAD E BROWNLOW RN, MSN, FNP
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
1363LF0000XFamily Nurse Practitioner617969TX

General Provider Information

NPI Number : 1508004391
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAD E BROWNLOW RN, MSN, FNP
Provider Business Mailing Address
First Line : 1015 HILLCREST DR
Second Line :
City : VERNON
State : TX
Zip : 76384-3100
Country : US
Telephone Number : 940-552-5495
Fax Number :
Provider Business Practice Location Address
First Line : 1015 HILLCREST DR
Second Line :
City : VERNON
State : TX
Zip : 76384-3100
Country : US
Telephone Number : 940-552-5495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2009
Last Update Date : 02/02/2009

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