Provider Demographics
NPI:1053591883
Name:BROWN, LATANYA MARTIN (HHP, RPSGT)
Entity type:Individual
Prefix:MS
First Name:LATANYA
Middle Name:MARTIN
Last Name:BROWN
Suffix:
Gender:F
Credentials:HHP, RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 LONGMIRE RD
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2175
Mailing Address - Country:US
Mailing Address - Phone:832-952-1199
Mailing Address - Fax:
Practice Address - Street 1:2742 LITTLE CANEY WAY
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77301-5086
Practice Address - Country:US
Practice Address - Phone:831-817-3371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-08
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No1710I1002XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Corpsman
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic