MEDICARE: DR. JAMES RAY BROWN M.D.

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	207Q00000X	Family Medicine Physician	G3188	TX

General Provider Information

NPI Number	:	1104944875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES RAY BROWN M.D.

Provider Business Mailing Address
First Line	:	7715 CHEVY CHASE DR
Second Line	:	BLDG.IV, SUITE 225
City	:	AUSTIN
State	:	TX
Zip	:	78752-1227
Country	:	US
Telephone Number	:	512-324-3351
Fax Number	:	512-324-1936

Provider Business Practice Location Address
First Line	:	452 SPILLER LN
Second Line	:
City	:	WEST LAKE HILLS
State	:	TX
Zip	:	78746-4437
Country	:	US
Telephone Number	:	512-327-1485
Fax Number	:

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

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	09/13/2024

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