Healthcare Provider Details

I. General information

NPI: 1487273223
Provider Name (Legal Business Name): MAXWELL BROWN ENTERPRISE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 E APACHE ST
TULSA OK
74106-3702
US

IV. Provider business mailing address

PO BOX 481210
TULSA OK
74148-1210
US

V. Phone/Fax

Practice location:
  • Phone: 918-408-5685
  • Fax:
Mailing address:
  • Phone: 918-408-5685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOYCE ANN BROWN
Title or Position: PHYSICIAN/MEDICAL DIRECTOR
Credential: DO, MPH
Phone: 918-408-5685