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NPI Code Detail

MEDICARE: DR. KEVIN THOMAS BROWN MD

MEDICARE: DR. KEVIN THOMAS BROWN MD
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
12084P0800XPsychiatry PhysicianM3479TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760493506
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN THOMAS BROWN MD
Provider Business Mailing Address
First Line : PO BOX 720541
Second Line :
City : DALLAS
State : TX
Zip : 75372-0541
Country : US
Telephone Number : 214-457-1353
Fax Number :
Provider Business Practice Location Address
First Line : 4730 COLLEGE DR
Second Line :
City : VERNON
State : TX
Zip : 76384-4009
Country : US
Telephone Number : 940-552-9901
Fax Number : 940-514-9082
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 06/19/2025

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