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NPI Code Detail

MEDICARE: JOHN R BROWN

MEDICARE:   JOHN R 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
1225100000XPhysical Therapist1273838TX

General Provider Information

NPI Number : 1629521844
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN R BROWN
Provider Business Mailing Address
First Line : 9628 BARTLETT CIR STE 300
Second Line :
City : FORT WORTH
State : TX
Zip : 76108-4447
Country : US
Telephone Number : 817-862-9665
Fax Number : 817-862-9667
Provider Business Practice Location Address
First Line : 6049 S HULEN ST STE 113
Second Line :
City : FORT WORTH
State : TX
Zip : 76132-4815
Country : US
Telephone Number : 817-885-0668
Fax Number : 817-887-5875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2016
Last Update Date : 12/13/2017

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Directions to “ JOHN R BROWN ” Practice Location

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