Shauna Kay Brown, | |
4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 | |
(903) 939-2800 | |
(817) 789-6849 |
Full Name | Shauna Kay Brown |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4801 Troup Hwy, Tyler, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891049045 | NPI | - | NPPES |
207164901 | Medicaid | TX | |
149984001 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 108473 (Texas) | Primary |
Provider Name | Synergy Care Southeast, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587 |
Mailing Address | Practice Location Address |
---|---|
Shauna Kay Brown, 5316 Trail Lake Dr, Fort Worth, TX 76133-1931 Ph: (817) 292-8787 | Shauna Kay Brown, 4801 Troup Hwy, Suite 800, Tyler, TX 75703-2356 Ph: (903) 939-2800 |
Kimberly Westbrook, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Ste. 800, Tyler, TX 75703 Phone: 903-939-2800 | |
Mary Paige Woodfin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4801 Troup Hwy, Suite 800, Tyler, TX 75703 Phone: 903-939-2800 Fax: 817-789-6849 | |
Samantha A Minten, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1204 S Vine Ave, Tyler, TX 75701 Phone: 903-508-9696 | |
Jamie Nutt, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5181 Elaine Dr, Tyler, TX 75703 Phone: 409-739-5992 | |
Nicole Rene Wiggins, OTR, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E Front St, Tyler, TX 75702 Phone: 903-531-2581 | |
Joseph Clinton Staples, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Olympic Plaza Cir, Tyler, TX 75701 Phone: 903-596-3161 | |
Patricia Shaw, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9846 Hwy 31 E, Tyler, TX 75705 Phone: 903-525-3801 Fax: 903-525-3858 |