Brown, Carmie Lou Ann

Brown, Carmie Lou Ann is an individual health care provider with primary practice located at 12801 Edgemere Blvd # B Ste 112, El Paso TX 79938-9500. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Brown, Carmie Lou Ann can be contacted via phone (915) 493-6310.

Contact Information

Primary practice address
12801 Edgemere Blvd # B Ste 112 El Paso TX 79938-9500
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DD2750 New Mexico
Dental Providers / General Practice 1223G0001X 25000 Texas

Profile Details

NPI number 1740202928
LBN Legal business name Brown, Carmie Lou Ann
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 21st, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740202928 NPPES
Texas MEDICAID 211397905

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