Provider Demographics
NPI:1578329231
Name:BROWN, BRITTANY DESIREE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DESIREE
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 WILCREST DR # 170-04
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-6030
Mailing Address - Country:US
Mailing Address - Phone:713-805-3796
Mailing Address - Fax:
Practice Address - Street 1:3200 WILCREST DR # 170-04
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-6030
Practice Address - Country:US
Practice Address - Phone:713-805-3796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory