| 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 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 05/15/2008 |
| Medicare PECOS PAC ID | 3870670359 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871594879 PECOS PAC ID: 4587695945 Enrollment ID: I20050825000239 |
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