Ila Brown, D.D.S.
Individual provider Active NPI Dentist · Kenedy, TX
NPI 1508265653 · NPPES record last updated Aug 14, 2014
Key facts
- NPI
- 1508265653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 15566 (TX)
- Practice address
- 899 FM 632
Kenedy, TX 78119-4516 - Phone
- (830) 583-4003
- NPI assigned
- Aug 14, 2014
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 15566 | TX | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15566 | TX | Yes |
| General Practice Dentistry | 1223G0001X | 15566 | TX |
Addresses
Primary practice location
899 FM 632
Kenedy, TX 78119-4516
Mailing address
899 FM 632
Kenedy, TX 78119-4516
Phone (830) 583-4003
Other names
- Dr. Ila Brown
Other providers in Kenedy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.