Provider Demographics
NPI:1285223255
Name:BROWN, EURAKA MONIQUE
Entity Type:Individual
Prefix:MS
First Name:EURAKA
Middle Name:MONIQUE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:EURAKA
Other - Middle Name:MONIQUE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:501 TJ WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-4343
Mailing Address - Country:US
Mailing Address - Phone:281-900-8664
Mailing Address - Fax:
Practice Address - Street 1:501 TJ WRIGHT ST
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-4343
Practice Address - Country:US
Practice Address - Phone:281-900-8664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program