Aline Brown M D P C | |
3400 Nw Expressway St Ste 410 Oklahoma City OK 73112-4491 | |
(405) 945-4811 | |
(405) 945-4812 |
Full Name | Aline Brown M D P C |
---|---|
Speciality | Internal Medicine |
Location | 3400 Nw Expressway St Ste 410, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Aline C Brown (PRESIDENT) |
Authorized Official Contact | 4059454811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aline Brown M D P C 3400 Nw Expressway St Ste 410 Oklahoma City OK 73112-4491 Ph: (405) 945-4811 | Aline Brown M D P C 3400 Nw Expressway St Ste 410 Oklahoma City OK 73112-4491 Ph: (405) 945-4811 |
NPI Number | 1629288980 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 05/15/2008 |
Medicare PECOS PAC ID | 3870670359 |
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Medicare Enrollment ID | O20080408000590 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629288980 | NPI | - | NPPES |
100105970A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | D38651 (Oklahoma) | Primary |
Provider Name | Aline C Brown |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1871594879 PECOS PAC ID: 4587695945 Enrollment ID: I20050825000239 |
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