Healthcare Provider Details

I. General information

NPI: 1396769550
Provider Name (Legal Business Name): JOSHEL RABIA BROWN D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

PO BOX 301168
AUSTIN TX
78703-0020
US

V. Phone/Fax

Practice location:
  • Phone: 737-231-1087
  • Fax: 833-629-0523
Mailing address:
  • Phone: 737-231-1087
  • Fax: 833-629-0523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number1677
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: