Brownwood Specialty Group, Pa in Brownwood - Nurse Practitioner
Brownwood Specialty Group, Pa - NPI 1487696688
Brownwood Specialty Group, Pa is a Nurse Practitioner in Brownwood, Texas. Brownwood Specialty Group, Pa practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Brownwood Specialty Group, Pa is 1487696688. The last update date is 2013-05-15.
Brownwood Specialty Group, Pa's current location address is 2502 Crockett Dr, Brownwood, Texas. You can contact this provider via phone number 3256435521. The mailing address for Brownwood Specialty Group, Pa is 2502 Crockett Dr, Brownwood, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brownwood Specialty Group, Pa |
|---|---|
| Address | 2502 Crockett Dr, Brownwood, Texas |
| Phone Number | 3256435521 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Butka N Gary |
| Credentials | M.D. |
| Telephone Number | 3256435521 |
NPI Number Detail
| NPI Number | 1487696688 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2013-05-15 |
Provider Mailing Address Detail
| Address | 2502 Crockett Dr |
|---|---|
| City | Brownwood |
| State | Texas (TX) |
| Post Code | 768015900 |
| Phone Number | 3256435521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 643131 |
|
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 81342003 | TX | -- | |
| 0079DJ | TX | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brownwood Specialty Group, Pa by the Centers for Medicare & Medicaid Services?
The Brownwood Specialty Group, Pa has been issued the NPI (National Provider Identifier) 1487696688, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Brownwood Specialty Group, Pa located?
The Brownwood Specialty Group, Pa is located at 2502 Crockett Dr, Brownwood, TX 768015900.
What is Brownwood Specialty Group, Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Brownwood Specialty Group, Pa's specialized field of practice is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of specialization is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487696688 to Brownwood Specialty Group, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1487696688 to Brownwood Specialty Group, Pa on 2006-06-12.
As of what date were the Brownwood Specialty Group, Pa's details last updated?
The information pertaining to the Brownwood Specialty Group, Pa, including its address, specialty, and other details, was most recently updated on 2013-05-15.
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