Regina Brown, PTA

Individual provider Active NPI Skilled Nursing Facility · Forest Hill, TX

NPI 1992250013 · NPPES record last updated Aug 18, 2016

Key facts

NPI
1992250013
Entity type
Individual (NPI type 1)
Primary specialty
Skilled Nursing Facility 314000000X
License
2072226 (TX)
Practice address
3223 Maryann Dr
Forest Hill, TX 76119-6625
Phone
(254) 768-7419
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

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
2072226TXMDSkilled Nursing Facility

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2072226 TX Yes

Addresses

Primary practice location

3223 Maryann Dr
Forest Hill, TX 76119-6625

Mailing address

3223 Maryann Dr
Forest Hill, TX 76119-6625
Phone (254) 768-7419

Other providers in Forest Hill, TX

All providers in Forest Hill, TX · Skilled Nursing Facility in Texas

Sources for this page

Verify at the official NPI Registry.