Provider Demographics
NPI:1689393068
Name:BROWN, JAMILA ABENA
Entity Type:Individual
Prefix:MRS
First Name:JAMILA
Middle Name:ABENA
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 1:1336 CALVERT DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6509
Mailing Address - Country:US
Mailing Address - Phone:469-856-3618
Mailing Address - Fax:214-894-3283
Practice Address - Street 1:1336 CALVERT DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6509
Practice Address - Country:US
Practice Address - Phone:469-856-3618
Practice Address - Fax:214-894-3283
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management