| Greg Brown, Md, Llc | |
|
9091 Ellerbe Rd Suite 200b Shreveport LA 71106-6738 | |
| (318) 861-3838 | |
| (318) 861-3836 |
| Full Name | Greg Brown, Md, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 9091 Ellerbe Rd, Shreveport, Louisiana |
| Authorized Official Name and Position | Greg Brown (PRESIDENT) |
| Authorized Official Contact | 3188613838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Brown, Md, Llc 9091 Ellerbe Rd Suite 200b Shreveport LA 71106-6738 Ph: (318) 861-3838 | Greg Brown, Md, Llc 9091 Ellerbe Rd Suite 200b Shreveport LA 71106-6738 Ph: (318) 861-3838 |
| NPI Number | 1487918454 |
|---|---|
| Provider Enumeration Date | 06/25/2012 |
| Last Update Date | 06/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487918454 | NPI | - | NPPES |
| 1988987 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | MD020452 (Louisiana) | Primary |
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