Andrea Vernell Brown, M.D.
Family Medicine in Desoto, TX. Individual provider (NPI-1).
NPI number1831203207
StatusActive
Last updated in NPPESMar 15, 2011
Details
- NPI
- 1831203207
- Entity type
- Individual (NPI-1)
- Name
- Andrea Vernell Brown
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 19, 2006
- Last updated
- Mar 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | k1779 | TX | Yes |
| 302F00000X | Exclusive Provider Organization | k1779 | TX | |
| 302R00000X | Health Maintenance Organization | k1779 | TX | |
| 305R00000X | Preferred Provider Organization | K1779 | TX | |
| 305S00000X | Point of Service | k1779 | TX |
Practice location
526 E Pleasant Run RdDesoto, TX 75115-4019
Phone 972-223-4420 · Fax 972-274-1167
Mailing address
526 E. Pleasant Run RdDesoto, TX 75115-4019
Phone 972-223-4420 · Fax 972-274-1167
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