Healthcare Provider Details

I. General information

NPI: 1093058174
Provider Name (Legal Business Name): JOSHUA EUGENE BROWN D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 03/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25275 BUDDE RD SUITE #27
THE WOODLANDS TX
77380-2285
US

IV. Provider business mailing address

25275 BUDDE RD SUITE #27
THE WOODLANDS TX
77380-2285
US

V. Phone/Fax

Practice location:
  • Phone: 832-813-8451
  • Fax: 832-813-8783
Mailing address:
  • Phone: 832-813-8451
  • Fax: 832-813-8783

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number12303
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: