Provider Demographics
NPI:1316297161
Name:BROWN, KAROL B (WHNP)
Entity type:Individual
Prefix:
First Name:KAROL
Middle Name:B
Last Name:BROWN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:503 S JOHN REDDITT DR
Mailing Address - Street 2:
Mailing Address - City:LUFKIN
Mailing Address - State:TX
Mailing Address - Zip Code:75904-3120
Mailing Address - Country:US
Mailing Address - Phone:936-634-6636
Mailing Address - Fax:936-632-7550
Practice Address - Street 1:503 S JOHN REDDITT DR
Practice Address - Street 2:
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904-3120
Practice Address - Country:US
Practice Address - Phone:936-699-5623
Practice Address - Fax:936-632-7550
Is Sole Proprietor?:No
Enumeration Date:2012-09-19
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP104922364SW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SW0102XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX309916001Medicaid