MEDICARE: DEBRA KAY BROWN MA LMFT

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	106H00000X	Marriage & Family Therapist	4775	TX

General Provider Information

NPI Number	:	1962698894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA KAY BROWN MA LMFT

Provider Business Mailing Address
First Line	:	2407 MINNESOTA
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77227-7127
Country	:	US
Telephone Number	:	713-824-5649
Fax Number	:	866-258-5504

Provider Business Practice Location Address
First Line	:	2407 MINNESOTA
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77227-7127
Country	:	US
Telephone Number	:	713-824-5649
Fax Number	:	866-258-5504

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

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	12/05/2007

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