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NPI Code Detail

MEDICARE: BARBARA JEAN BROWN CRNA

MEDICARE: BARBARA JEAN BROWN CRNA
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
1367500000XCertified Registered Nurse AnesthetistAP106637TX
2367500000XCertified Registered Nurse Anesthetist229077TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
288287UOTHERTXBCBS

General Provider Information

NPI Number : 1902804735
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA JEAN BROWN CRNA
Provider Business Mailing Address
First Line : PO BOX 840853
Second Line :
City : DALLAS
State : TX
Zip : 75284-0853
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Provider Business Practice Location Address
First Line : 6606 LYNDON B JOHNSON FWY STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75240-6524
Country : US
Telephone Number : 972-715-5000
Fax Number : 972-715-9976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 06/25/2021

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