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1588693188

NPI Code Detail

MEDICARE: DR. REGINA BROWN CAROLINA MD

MEDICARE: DR. REGINA BROWN CAROLINA MD

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	2084P0800X	Psychiatry Physician	0430048	KS
2	2084P0800X	Psychiatry Physician	4301501199	MI
3	2084P0804X	Child & Adolescent Psychiatry Physician	2003007992	KS
4	2084P0804X	Child & Adolescent Psychiatry Physician	4301501199	MI
5	2084P0804X	Child & Adolescent Psychiatry Physician	C-173074	CA

General Provider Information

NPI Number	:	1588693188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGINA BROWN CAROLINA MD

Provider Business Mailing Address
First Line	:	21203 FOX WALK TRL
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-1492
Country	:	US
Telephone Number	:	913-378-3756
Fax Number	:

Provider Business Practice Location Address
First Line	:	2719 N AIR FRESNO DR
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93727-1547
Country	:	US
Telephone Number	:	559-600-3200
Fax Number	:

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

Provider Enumeration Date	:	07/03/2006
Last Update Date	:	01/18/2023

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Directions to “ DR. REGINA BROWN CAROLINA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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