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NPI Code Detail

MEDICARE: JEREMY BROWN

MEDICARE:   JEREMY  BROWN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1992593016
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEREMY BROWN
Provider Business Mailing Address
First Line : 4347 S HAMPTON RD
Second Line :
City : DALLAS
State : TX
Zip : 75232-1065
Country : US
Telephone Number : 972-803-5565
Fax Number :
Provider Business Practice Location Address
First Line : 4347 S HAMPTON RD
Second Line :
City : DALLAS
State : TX
Zip : 75232-1065
Country : US
Telephone Number : 972-803-5565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2025
Last Update Date : 04/28/2025

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Directions to “ JEREMY BROWN ” Practice Location

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