Provider Demographics
NPI:1619000239
Name:CLARK-BROWN, CHERYL MONET (MD)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:MONET
Last Name:CLARK-BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1033 LA POSADA DR
Mailing Address - Street 2:STE 210
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3830
Mailing Address - Country:US
Mailing Address - Phone:512-436-9419
Mailing Address - Fax:512-251-0689
Practice Address - Street 1:1033 LA POSADA DR
Practice Address - Street 2:STE 210
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3830
Practice Address - Country:US
Practice Address - Phone:512-391-9700
Practice Address - Fax:512-391-9713
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2016-08-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL6830207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine