Individual ProviderSandra BrownNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address3708 Jefferson St Ste A, Austin, TX 78731-6206(512) 459-6503PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Brown is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1891166161Provider TypeIndividualFull NameBrown, SandraCredentialNPGenderFemaleSole ProprietorNoEnumeration Date10/13/2015Last Updated3/2/2022Contact InformationPractice LocationPractice Address3708 Jefferson St Ste A, Austin, TX 78731-6206Phone(512) 459-6503Fax(512) 454-7453Mailing LocationMailing Address3708 Jefferson St Ste A, Austin, TX 78731-6206Phone(512) 459-6503Fax(512) 454-7453Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP129100Texas