Healthcare Provider Details
I. General information
NPI: 1699781971
Provider Name (Legal Business Name): STEWART R. BROWNING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/31/2006
Last Update Date: 12/13/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11714 WILSON PARKE AVE STE 150
AUSTIN TX
78726-4061
US
IV. Provider business mailing address
6210 E HWY 290 STE 240
AUSTIN TX
78723-1144
US
V. Phone/Fax
- Phone: 512-346-6611
- Fax: 512-406-6267
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | K9494 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: