Provider Demographics
NPI:1831579960
Name:BROWN, PATRICIA
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
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:PO BOX 3602
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75106-3602
Mailing Address - Country:US
Mailing Address - Phone:972-217-0047
Mailing Address - Fax:214-432-4398
Practice Address - Street 1:1213 PETTIGREW CT
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-8139
Practice Address - Country:US
Practice Address - Phone:972-217-0047
Practice Address - Fax:469-454-5271
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171WH0202XOther Service ProvidersContractorHome Modifications
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker