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NPI Code Detail

MEDICARE: DR. FREDERICK PHILIP BROWN DDS

MEDICARE: DR. FREDERICK PHILIP BROWN DDS
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
11223D0001XPublic Health DentistryTX14388TX

General Provider Information

NPI Number : 1154440691
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FREDERICK PHILIP BROWN DDS
Provider Business Mailing Address
First Line : 9554 MAJESTIC OAK CIR
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78255-3449
Country : US
Telephone Number : 210-698-0431
Fax Number :
Provider Business Practice Location Address
First Line : 1406 FITCH ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78211-1406
Country : US
Telephone Number : 210-922-2446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 07/08/2007

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