Individual ProviderTifany BrownNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address5900 Balcones Dr Ste 100, Austin, TX 78731-4298(346) 222-0050PECOS EnrollmentBased on the most recent information from CMS, provider Tifany Brown does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1639645575Provider TypeIndividualFull NameBrown, TifanyGenderFemaleSole ProprietorNoEnumeration Date10/18/2018Last Updated9/15/2020Contact InformationPractice LocationPractice Address5900 Balcones Dr Ste 100, Austin, TX 78731-4298Phone(346) 222-0050FaxUnlisted FaxMailing LocationMailing Address134 Vintage Park Blvd Ste A552, Houston, TX 77070-3998PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP138489Texas