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NPI Code Detail

MEDICARE: DR. MARY C BROWER

MEDICARE:  DR. MARY C BROWER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianH0236TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083692750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY C BROWER
Provider Business Mailing Address
First Line : 7500 VISCOUNT BLVD
Second Line : SUITE 140
City : EL PASO
State : TX
Zip : 79925
Country : US
Telephone Number : 915-790-5700
Fax Number : 915-595-3916
Provider Business Practice Location Address
First Line : 6600 NORTH DESERT BLVD
Second Line :
City : EL PASO
State : TX
Zip : 79912
Country : US
Telephone Number : 915-521-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 12/16/2019

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