Deandre Brown Md Pllc | |
7227 Cana Grand Prairie TX 75054-6860 | |
(214) 870-8133 | |
Not Available |
Full Name | Deandre Brown Md Pllc |
---|---|
Speciality | Internal Medicine |
Location | 7227 Cana, Grand Prairie, Texas |
Authorized Official Name and Position | Deandre A Brown (PRESIDENT) |
Authorized Official Contact | 2148708133 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Deandre Brown Md Pllc Po Box 543539 Grand Prairie TX 75054-3539 Ph: (214) 870-8133 | Deandre Brown Md Pllc 7227 Cana Grand Prairie TX 75054-6860 Ph: (214) 870-8133 |
NPI Number | 1427388057 |
---|---|
Provider Enumeration Date | 01/04/2010 |
Last Update Date | 06/26/2015 |
Medicare PECOS PAC ID | 8325177447 |
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Medicare Enrollment ID | O20100708000256 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427388057 | NPI | - | NPPES |
0051TD | Other | TX | BCBS |
TXB100266 | Other | TX | MEDICARE |
N0664 | Other | TX | LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | N0664 (Texas) | Primary |
Provider Name | Deandre Brown |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932300779 PECOS PAC ID: 8123180064 Enrollment ID: I20081231000067 |
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Grand Prairie Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 517 N Carrier Pkwy Ste J, Grand Prairie, TX 75050 Phone: 214-677-0639 Fax: 214-677-0539 | |
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