Provider Demographics
NPI:1700366549
Name:BROWNE, TAMRA GAIL (MED CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:TAMRA
Middle Name:GAIL
Last Name:BROWNE
Suffix:
Gender:F
Credentials:MED CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 HEATHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4951
Mailing Address - Country:US
Mailing Address - Phone:214-803-4531
Mailing Address - Fax:
Practice Address - Street 1:1510 N PLANO RD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2429
Practice Address - Country:US
Practice Address - Phone:972-234-4786
Practice Address - Fax:972-234-2335
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100703314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility