MEDICARE: TRACI BROWNLOW M.S.

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1861771198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TRACI BROWNLOW M.S.

Provider Business Mailing Address
First Line	:	3501 MILITARY CIRCLE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-4398
Country	:	US
Telephone Number	:	405-228-5308
Fax Number	:	405-606-7218

Provider Business Practice Location Address
First Line	:	3501 NE MILITARY CIR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73111-4305
Country	:	US
Telephone Number	:	405-228-5308
Fax Number	:	405-606-7218

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

Provider Enumeration Date	:	08/04/2011
Last Update Date	:	08/04/2011

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Directions to “ TRACI BROWNLOW M.S.” Practice Location

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