Most Relevant Information
Provider Data
| NPI Number: | 1003471210 |
| Provider Name: | VIRGIOUS BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2019 |
| Last Updated: | 08/16/2019 |
Provider Practice Location
33570 BOWIE STREET
WHITE CASTLE
LA
70788
Practice Location Phone/Fax
| Phone: | 2255450130 |
| Fax: | 2255450131 |
Provider Mailing Location
PO BOX 515
WHITE CASTLE
LA
707880515
Provider Mailing Phone/Fax
| Phone: | 2255450130 |
| Fax: |