Basic Information
| Provider Information | |||||||||
| NPI: | 1184979478 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | ALLISON | ||||||||
| MiddleName: | E | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DPT | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | MINTER | ||||||||
| OtherFirstName: | ALLISON | ||||||||
| OtherMiddleName: | E | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8700 N TARRANT PKWY | ||||||||
| Address2: | 113 | ||||||||
| City: | N RICHLAND HILLS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761828464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174988344 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8700 N TARRANT PKWY | ||||||||
| Address2: | 113 | ||||||||
| City: | N RICHLAND HILLS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761828464 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174988344 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/23/2012 | ||||||||
| LastUpdateDate: | 12/01/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| AuthorizedOfficialMiddleName: | |||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 1218289 | TX | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.