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NPI Code Detail

MEDICARE: ANSLEY BROWN PNP

MEDICARE: ANSLEY BROWN PNP
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
1363L00000XNurse Practitioner634240TX
2363LP0200XPediatric Nurse PractitionerAP124417TX

General Provider Information

NPI Number : 1902232861
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANSLEY BROWN PNP
Provider Business Mailing Address
First Line : PO BOX 734812
Second Line :
City : DALLAS
State : TX
Zip : 75373-4812
Country : US
Telephone Number : 210-358-9500
Fax Number : 210-358-9183
Provider Business Practice Location Address
First Line : 919 LOCKE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78208-2127
Country : US
Telephone Number : 210-358-8255
Fax Number : 210-644-8726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2013
Last Update Date : 07/14/2023

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