Cynthia L Brown

Individual provider Active NPI Licensed Vocational Nurse · Tyler, TX

NPI 1053899591 · NPPES record last updated Aug 6, 2018

Key facts

NPI
1053899591
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Vocational Nurse 164X00000X
License
71018 (TX)
Practice address
9846 Hwy 31 E
Tyler, TX 75705-2329
Phone
(903) 525-8001
NPI assigned
Aug 6, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
71018TXMDLicensed Vocational Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 71018 TX Yes

Addresses

Primary practice location

9846 Hwy 31 E
Tyler, TX 75705-2329

Mailing address

9846 Hwy 31 E
Tyler, TX 75705-2329
Phone (903) 525-8001

Other providers in Tyler, TX

All providers in Tyler, TX · Licensed Vocational Nurse in Texas

Sources for this page

Verify at the official NPI Registry.