| Doctor Name: | DR. JETTA MARIE BROWN |
| NPI Number: | 1831265552 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | E8359 |
| Business Practice Address: | 436 County Road 118 Floresville, TX - 781144855 |
| Business Phone Number: | 8303917379 |
| Business Fax Number: | |
| Mailing Address: | 436 County Road 118, FLORESVILLE |
| State: | TX |
| Postal Code: | 781144855 |
| Phone Number: | 8303917379 |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | E8359 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |