Brown, Andrea Vernell
Brown, Andrea Vernell is an sole proprietor health care provider with primary practice located at 526 E Pleasant Run Rd , Desoto TX 75115-4019. She recently has 5 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization, Managed Care Organizations / Preferred Provider Organization, Managed Care Organizations / Point of Service, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Brown, Andrea Vernell can be contacted via phone (972) 223-4420.Contact Information
Primary practice address
526 E Pleasant Run Rd
Desoto TX 75115-4019
Phone: (972) 223-4420
Fax: (972) 274-1167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | K1779 | Texas |
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | K1779 | Texas |
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | K1779 | Texas |
| Managed Care Organizations / Point of Service | 305S00000X | K1779 | Texas |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | K1779 | Texas |
Profile Details
| NPI number | 1831203207 |
|---|---|
| LBN Legal business name | Brown, Andrea Vernell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Mar 15th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831203207 | NPPES |
| Texas | MEDICAID | 1798340 |
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