Healthcare Provider Details

I. General information

NPI: 1972065126
Provider Name (Legal Business Name): HORACE ANTHONY BROWN JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2019
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 S PONDS DR
WEBSTER TX
77598-1409
US

IV. Provider business mailing address

11511 SHADOW CREEK PKWY CREDENTIALING SERVICES
PEARLAND TX
77584-7298
US

V. Phone/Fax

Practice location:
  • Phone: 713-442-4300
  • Fax:
Mailing address:
  • Phone: 713-442-0000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberV0698
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: