Healthcare Provider Details

I. General information

NPI: 1497620173
Provider Name (Legal Business Name): BROWYN KING NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 MEDICAL DR STE 330
SAN ANTONIO TX
78229-5805
US

IV. Provider business mailing address

701 S NEDDERMAN DR
ARLINGTON TX
76019-9800
US

V. Phone/Fax

Practice location:
  • Phone: 210-200-8798
  • Fax:
Mailing address:
  • Phone: 210-288-7320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1215378
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: