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General NPI Number Information
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NPI Number | 1336708692
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Entity Type | Organization
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Legal Business Name | TRAVIS BROWN, MD, PA
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 423 E MAIN ST
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-3345
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Country | US
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Telephone | 469-672-6687
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1595
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-1595
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Country | US
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Telephone | 469-672-6687
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Fax | 844-965-9420
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Authorized Official
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Title or Position | OWNER
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Name | TRAVIS BROWN
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Credential | MD
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Telephone | 817-875-7893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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