Individual ProviderTimothy BrownStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th Street, Mail Stop 9410, Lubbock, TX 79430(806) 743-3143PECOS EnrollmentBased on the most recent information from CMS, provider Timothy 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 4 days ago.Profile DetailsProvider ID1205575743Provider TypeIndividualFull NameBrown, TimothyTitleDr.CredentialMD, PHDGenderMaleSole ProprietorNoEnumeration Date6/2/2022Last Updated5/16/2023Contact InformationPractice LocationPractice Address3601 4th Street, Mail Stop 9410, Lubbock, TX 79430Phone(806) 743-3143FaxUnlisted FaxMailing LocationMailing Address3601 4th Street, Mail Stop 9410, Lubbock, TX 79430PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer