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NPI Code Detail

MEDICARE: ELIZABETH BROWN MD

MEDICARE:   ELIZABETH  BROWN  MD
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
1207RH0002XHospice and Palliative Medicine (Internal Medicine) PhysicianR2820TX
2207Q00000XFamily Medicine Physician30086OK

General Provider Information

NPI Number : 1881030070
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH BROWN MD
Provider Business Mailing Address
First Line : 900 NE 10TH ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73104-5420
Country : US
Telephone Number : 405-271-2230
Fax Number :
Provider Business Practice Location Address
First Line : 3600 GASTON AVE STE 605
Second Line :
City : DALLAS
State : TX
Zip : 75246-1806
Country : US
Telephone Number : 214-820-9248
Fax Number : 214-820-9258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/15/2013
Last Update Date : 03/29/2022

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