Healthcare Provider Details

I. General information

NPI: 1063987105
Provider Name (Legal Business Name): RYAN BROWN NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2609 SCRIPTURE ST
DENTON TX
76201-2302
US

IV. Provider business mailing address

2609 SCRIPTURE ST
DENTON TX
76201-2302
US

V. Phone/Fax

Practice location:
  • Phone: 405-650-8009
  • Fax: 940-565-0884
Mailing address:
  • Phone: 940-565-0800
  • Fax: 940-565-0884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138411
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: