Provider Demographics
NPI:1225261134
Name:BROWN, JANET AKHERE
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:AKHERE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:AKHERE
Other - Last Name:OGBEIDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1770 W IRVING BLVD STE 12
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-7139
Mailing Address - Country:US
Mailing Address - Phone:469-878-0652
Mailing Address - Fax:972-602-3998
Practice Address - Street 1:1770 W IRVING BLVD STE 12
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-7139
Practice Address - Country:US
Practice Address - Phone:469-878-0652
Practice Address - Fax:972-602-3998
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1094043332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies