Provider Demographics
NPI:1164656054
Name:BROWN, GRACE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:ELIZABETH
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4471 LONG PRAIRIE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-1755
Mailing Address - Country:US
Mailing Address - Phone:972-316-4555
Mailing Address - Fax:
Practice Address - Street 1:4471 LONG PRAIRIE RD STE 100
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-1755
Practice Address - Country:US
Practice Address - Phone:972-316-4555
Practice Address - Fax:214-285-0791
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2019-11-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP5040207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology