Provider Demographics
NPI:1508004391
Name:BROWNLOW, CHAD E (RN, MSN, FNP)
Entity Type:Individual
Prefix:
First Name:CHAD
Middle Name:E
Last Name:BROWNLOW
Suffix:
Gender:M
Credentials:RN, MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-3100
Mailing Address - Country:US
Mailing Address - Phone:940-552-5495
Mailing Address - Fax:
Practice Address - Street 1:1015 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3100
Practice Address - Country:US
Practice Address - Phone:940-552-5495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX617969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily