Provider Demographics
NPI:1992504989
Name:BROWN, DEBORAH RENEE (REGISTERED NURSE)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:RENEE
Last Name:BROWN
Suffix:
Gender:
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COLETO CREEK LOOP
Mailing Address - Street 2:
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-4225
Mailing Address - Country:US
Mailing Address - Phone:210-254-5430
Mailing Address - Fax:
Practice Address - Street 1:241 FERRULE DR
Practice Address - Street 2:
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-8008
Practice Address - Country:US
Practice Address - Phone:800-553-2892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX924276163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health