MEDICARE: DR. TIMOTHY PAUL BROWN D.D.S.

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	122300000X	Dentist	16812	TX

General Provider Information

NPI Number	:	1992700835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY PAUL BROWN D.D.S.

Provider Business Mailing Address
First Line	:	8475 HIGHWAY 6 NORTH
Second Line	:	SUITE C2
City	:	HOUSTON
State	:	TX
Zip	:	77095
Country	:	US
Telephone Number	:	281-550-4444
Fax Number	:	281-550-4844

Provider Business Practice Location Address
First Line	:	8475 HIGHWAY 6 NORTH
Second Line	:	SUITE C2
City	:	HOUSTON
State	:	TX
Zip	:	77095
Country	:	US
Telephone Number	:	281-550-4444
Fax Number	:	281-550-4844

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	03/31/2020

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