=====================================================
General NPI Number Information
=====================================================
NPI Number | 1659326726
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LEWIS A. BROWN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2006
-----------------------------------------------------
Last Update Date | 03/10/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15400 SOUTHWEST FWY #125
-----------------------------------------------------
City | SUGAR LAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77478-3875
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-242-0131
-----------------------------------------------------
Fax | 281-242-7402
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9494 SW FWY #600
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77074-1424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-596-8500
-----------------------------------------------------
Fax | 713-596-8560
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207K00000X
-----------------------------------------------------
Taxonomy Name | Allergy & Immunology Physician
-----------------------------------------------------
License Number | F7709
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------