DR. MARY BROWN-JACOBS ED.D. NPI 1528577483

NPI Information

NPI: 1528577483
Provider Name: DR. MARY BROWN-JACOBS, ED.D.
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
501 CANVAS CT
CROWLEY, TX
ZIP 76036
Phone: (817) 996-3138
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DR. Mary Brown-jacobs, ED.D. is a community based residential treatment facility, intellectual and/or developmental disabilities in Crowley, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. DR. Mary Brown-jacobs, ED.D. NPI is 1528577483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 CANVAS CT
CROWLEY, TX
ZIP 76036-338
Phone: (817) 996-3138

The enumeration date for this NPI number is 9/22/2017 and was last updated on 9/22/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305R00000X	Preferred Provider Organization		16071202	TEXAS	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		16071202	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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