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DR. KAREN KAY BREWER-MIXON PHD

Clinical Neuropsychologist

Dallas, Texas

Provider NPI: 1932161726

Provider Information:
DR. KAREN KAY BREWER-MIXON PHD
Gender: F
Not Sole Proprietor

Practice Location:
5323 HARRY HINES BLVD  DALLAS, TX 75390 US
Tel: 214-645-0624  Fax: 214-645-0078

Business Mailing Address:
PO BOX 845347  DALLAS, TX 75284 US
Tel: 245-645-0624  Fax: 245-645-0078

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX25376

Other Provider Identifiers:

IssuerNumberStateType
030396802TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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