Brown, Tammera Susan
Brown, Tammera Susan is an sole proprietor health care provider with primary practice located at 1713 Broadmoor Dr Ste 406 , Bryan TX 77802-5220. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brown, Tammera Susan can be contacted via phone (979) 776-0930.Contact Information
Primary practice address
1713 Broadmoor Dr Ste 406
Bryan TX 77802-5220
Phone: (979) 776-0930
Fax: (979) 776-0930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 11313675 | Texas |
Profile Details
| NPI number | 1245267111 |
|---|---|
| LBN Legal business name | Brown, Tammera Susan |
| Credentials | MA, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jul 20th, 2022 - about 2 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 | 1245267111 | NPPES |
| Texas | MEDICAID | 0263212-01 | |
| Texas | Other | 2879 LC |
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