Brown, Gwendolyn Clark

Brown, Gwendolyn Clark is an individual health care provider with primary practice located at 10425 N Central Expy , Dallas TX 75231-2208. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brown, Gwendolyn Clark can be contacted via phone (214) 361-2025.

Contact Information

Primary practice address
10425 N Central Expy Dallas TX 75231-2208
Phone: (214) 361-2025
Fax: (214) 361-2028
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP112485 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP112485 Texas

Profile Details

NPI number 1497835722
LBN Legal business name Brown, Gwendolyn Clark
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 13th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497835722 NPPES
Texas MEDICAID 165647203
Texas Other P00125344
Texas Other 8N4436
Texas MEDICAID 165647201

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