Healthcare Provider Details

I. General information

NPI: 1124181615
Provider Name (Legal Business Name): JOHN CALEB BROWNING MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3320 OAKWELL CT
SAN ANTONIO TX
78218
US

IV. Provider business mailing address

3320 OAKWELL CT
SAN ANTONIO TX
78218-3128
US

V. Phone/Fax

Practice location:
  • Phone: 210-829-5180
  • Fax: 210-829-5030
Mailing address:
  • Phone: 210-829-5180
  • Fax: 210-829-5030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207NP0225X
TaxonomyPediatric Dermatology Physician
License NumberL9115
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberL9115
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: