Provider Demographics
NPI:1679447551
Name:BROWN, TAIYO
Entity type:Individual
Prefix:
First Name:TAIYO
Middle Name:
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3662 MCCAIN PARK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72116-7847
Mailing Address - Country:US
Mailing Address - Phone:501-333-4967
Mailing Address - Fax:501-333-4967
Practice Address - Street 1:3662 MCCAIN PARK DR
Practice Address - Street 2:
Practice Address - City:NORTH LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72116-7847
Practice Address - Country:US
Practice Address - Phone:501-333-4967
Practice Address - Fax:501-333-4967
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle