Provider Demographics
NPI:1699915942
Name:BROWN, TERESA JUNE (FNP)
Entity type:Individual
Prefix:MS
First Name:TERESA
Middle Name:JUNE
Last Name:BROWN
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:7703 FLOYD CURL DR
Mailing Address - Street 2:MAIL CODE 7800
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3901
Mailing Address - Country:US
Mailing Address - Phone:210-567-1475
Mailing Address - Fax:210-567-0458
Practice Address - Street 1:4502 MEDICAL DR
Practice Address - Street 2:2ND FLOOR RADIOLOGY
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4402
Practice Address - Country:US
Practice Address - Phone:210-567-1475
Practice Address - Fax:210-567-0458
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2011-07-22
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Provider Licenses
StateLicense IDTaxonomies
TX565917363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX280196101Medicaid
TX280196102OtherCSHCN
TX21908OtherUNIVERSITY HEALTH CARE SYSTEM
TXTXB124063Medicare PIN