Brown, Terra Anita
Brown, Terra Anita is an individual health care provider with primary practice located at 1652 Keller Parkway Ste 100, Keller TX 76248-3876. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Brown, Terra Anita can be contacted via phone (817) 562-3111.Contact Information
Primary practice address
1652 Keller Parkway Ste 100
Keller TX 76248-3876
Phone: (817) 562-3111
Fax: (817) 562-3114
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR 1614 | Arkansas |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 116116 | Texas |
Profile Details
NPI number | 1023167855 |
---|---|
LBN Legal business name | Brown, Terra Anita |
Credentials | Registered Occupational Therapist (OTR) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 10th, 2007 |
Last updated | Sep 16th, 2021 - about 3 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 | 1023167855 | NPPES |
Arkansas | MEDICAID | 142612721 |
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