Healthcare Provider Details
I. General information
NPI: 1740251610
Provider Name (Legal Business Name): CATHERINE PEARL BROWNE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/30/2006
Last Update Date: 06/25/2021
Certification Date: 06/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
12201 RENFERT WAY SUITE 325
AUSTIN TX
78758-5354
US
IV. Provider business mailing address
12201 RENFERT WAY STE 220
AUSTIN TX
78758-5369
US
V. Phone/Fax
- Phone: 512-836-2536
- Fax:
- Phone: 512-836-2536
- Fax: 512-284-8063
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | N1566 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | DOS-931 |
| License Number State | HI |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | N1566 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: