Healthcare Provider Details

I. General information

NPI: 1801888557
Provider Name (Legal Business Name): RICHARD DAVID BROWER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 10/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 ALBERTA AVE DEPARTMENT OF NEUROPSYCHIATRY TTUHSC
EL PASO TX
79905-2709
US

IV. Provider business mailing address

4800 ALBERTA AVE DEPARTMENT OF NEUROLOGY; PLFSOM-TTUHSC
EL PASO TX
79905-2709
US

V. Phone/Fax

Practice location:
  • Phone: 915-545-8877
  • Fax: 915-545-6705
Mailing address:
  • Phone: 915-545-8877
  • Fax: 915-545-6705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberH0214
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: