MEDICARE: DARLA JEAN BROWN D.C.

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
1	111N00000X	Chiropractor	DC 5616	TX

General Provider Information

NPI Number	:	1235326711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLA JEAN BROWN D.C.

Provider Business Mailing Address
First Line	:	10101 HARWIN DR
Second Line	:	SUITE 170
City	:	HOUSTON
State	:	TX
Zip	:	77036-1687
Country	:	US
Telephone Number	:	713-772-1800
Fax Number	:	713-270-4487

Provider Business Practice Location Address
First Line	:	10101 HARWIN DR
Second Line	:	SUITE 170
City	:	HOUSTON
State	:	TX
Zip	:	77036-1687
Country	:	US
Telephone Number	:	713-772-1800
Fax Number	:	713-270-4487

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2007
Last Update Date	:	09/28/2007

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