MEDICARE: MRS. PATRICIA BROWN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171WH0202X	Home Modifications Contractor
2	172A00000X	Driver
3	172V00000X	Community Health Worker
4	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1831579960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PATRICIA BROWN

Provider Business Mailing Address
First Line	:	PO BOX 3602
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75106-3602
Country	:	US
Telephone Number	:	972-217-0047
Fax Number	:	214-432-4398

Provider Business Practice Location Address
First Line	:	1213 PETTIGREW CT
Second Line	:
City	:	CEDAR HILL
State	:	TX
Zip	:	75104-8139
Country	:	US
Telephone Number	:	972-217-0047
Fax Number	:	469-454-5271

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

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	12/23/2022

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