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NPI Code Detail

MEDICARE: ANGELA KRISTINE BROWN

MEDICARE: ANGELA KRISTINE BROWN
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
12251G0304XGeriatric Physical Therapist1107274TX

General Provider Information

NPI Number : 1316571094
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA KRISTINE BROWN
Provider Business Mailing Address
First Line : 7773 STEEP HOLLOW RD
Second Line :
City : BRYAN
State : TX
Zip : 77808-7675
Country : US
Telephone Number : 979-412-7718
Fax Number :
Provider Business Practice Location Address
First Line : 2817 KENT ST
Second Line :
City : BRYAN
State : TX
Zip : 77802-5214
Country : US
Telephone Number : 979-412-7718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2020
Last Update Date : 03/06/2020

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Directions to “ ANGELA KRISTINE BROWN ” Practice Location

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