Provider Demographics
NPI:1376701342
Name:BROWN, JAMES ALAN (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:ALAN
Last Name:BROWN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 GREENHILL RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-6734
Mailing Address - Country:US
Mailing Address - Phone:903-577-3700
Mailing Address - Fax:903-577-3701
Practice Address - Street 1:2310 GREENHILL RD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-6734
Practice Address - Country:US
Practice Address - Phone:903-577-3700
Practice Address - Fax:903-577-3701
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1092427225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist