Provider Demographics
NPI:1952163891
Name:BROWN, DEVEN L (LMT, LE)
Entity Type:Individual
Prefix:
First Name:DEVEN
Middle Name:L
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMT, LE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12500 BROOKGLADE CIR UNIT 204
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1387
Mailing Address - Country:US
Mailing Address - Phone:832-721-8768
Mailing Address - Fax:
Practice Address - Street 1:11777 KATY FWY STE 435N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1325
Practice Address - Country:US
Practice Address - Phone:832-721-8768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist