MEDICARE: PHILIP BROWN M.D, J.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	209800000X	Legal Medicine (M.D./D.O.) Physician	H7929	TX

General Provider Information

NPI Number	:	1235590035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP BROWN M.D, J.D.

Provider Business Mailing Address
First Line	:	3554 ROSEDALE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1226
Country	:	US
Telephone Number	:	817-584-1824
Fax Number	:

Provider Business Practice Location Address
First Line	:	3554 ROSEDALE AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75205-1226
Country	:	US
Telephone Number	:	817-584-1824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2016
Last Update Date	:	03/08/2016

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