Provider Demographics
NPI: | 1508998154 |
---|---|
Name: | BROWN, JOYCE ANN (DO) |
Entity Type: | Individual |
Prefix: | DR |
First Name: | JOYCE |
Middle Name: | ANN |
Last Name: | BROWN |
Suffix: | |
Gender: | F |
Credentials: | DO |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 7122 S SHERIDAN RD STE 2, #381 |
Mailing Address - Street 2: | |
Mailing Address - City: | TULSA |
Mailing Address - State: | OK |
Mailing Address - Zip Code: | 74133-2748 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7122 S SHERIDAN RD STE 2 |
Practice Address - Street 2: | #381 |
Practice Address - City: | TULSA |
Practice Address - State: | OK |
Practice Address - Zip Code: | 74133-2748 |
Practice Address - Country: | US |
Practice Address - Phone: | 615-371-8884 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2007-03-09 |
Last Update Date: | 2020-02-04 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
OK | 3241 | 2083A0100X, 2083B0002X, 2083C0008X, 2083P0500X, 2083P0901X, 2083S0010X, 2083T0002X, 208D00000X, 261QC1500X, 261QH0100X, 261QM1300X, 261QM2500X, 261QP3300X, 261QX0100X, 2083A0300X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2083A0300X | Allopathic & Osteopathic Physicians | Preventive Medicine | Addiction Medicine |
No | 2083A0100X | Allopathic & Osteopathic Physicians | Preventive Medicine | Aerospace Medicine |
No | 2083B0002X | Allopathic & Osteopathic Physicians | Preventive Medicine | Obesity Medicine |
No | 2083C0008X | Allopathic & Osteopathic Physicians | Preventive Medicine | Clinical Informatics |
No | 2083P0500X | Allopathic & Osteopathic Physicians | Preventive Medicine | Preventive Medicine/Occupational Environmental Medicine |
No | 2083P0901X | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine |
No | 2083S0010X | Allopathic & Osteopathic Physicians | Preventive Medicine | Sports Medicine |
No | 2083T0002X | Allopathic & Osteopathic Physicians | Preventive Medicine | Medical Toxicology |
No | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | |
No | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | Community Health |
No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No | 261QM2500X | Ambulatory Health Care Facilities | Clinic/Center | Medical Specialty |
No | 261QP3300X | Ambulatory Health Care Facilities | Clinic/Center | Pain |
No | 261QX0100X | Ambulatory Health Care Facilities | Clinic/Center | Occupational Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OK | NA | Other | NA |