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NPI Code Detail

MEDICARE: MS. SANDRA LEE BROWN-BRYANT

MEDICARE:  MS. SANDRA LEE BROWN-BRYANT
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1528205580
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SANDRA LEE BROWN-BRYANT
Provider Business Mailing Address
First Line : 7633 BECKWOOD DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76112-6051
Country : US
Telephone Number : 817-939-8939
Fax Number : 817-492-8262
Provider Business Practice Location Address
First Line : 7633 BECKWOOD DR
Second Line :
City : FORT WORTH
State : TX
Zip : 76112-6051
Country : US
Telephone Number : 817-939-8939
Fax Number : 817-492-8262
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 01/13/2009

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Directions to “ MS. SANDRA LEE BROWN-BRYANT ” Practice Location

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