MEDICARE: JOSHUA EUGENE BROWN D.C.

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
1	111NS0005X	Sports Physician Chiropractor	12303	TX

General Provider Information

NPI Number	:	1093058174
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA EUGENE BROWN D.C.

Provider Business Mailing Address
First Line	:	25275 BUDDE RD
Second Line	:	SUITE #27
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2285
Country	:	US
Telephone Number	:	832-813-8451
Fax Number	:	832-813-8783

Provider Business Practice Location Address
First Line	:	25275 BUDDE RD
Second Line	:	SUITE #27
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-2285
Country	:	US
Telephone Number	:	832-813-8451
Fax Number	:	832-813-8783

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	03/27/2013

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