Doctor Name: | CANDICE LYNN BROWN ADDISON |
NPI Number: | 1326251208 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 01066092A |
Business Practice Address: | 725 S I 35 E Suite 188 Denton, TX - 762058154 |
Business Phone Number: | 9402223800 |
Business Fax Number: | 9402223801 |
Mailing Address: | 725 S I 35 E, Suite 188 DENTON |
State: | TX |
Postal Code: | 762058154 |
Phone Number: | 9402223800 |
Fax Number: | 9402223801 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01066092A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |