MEDICARE: RON BROWN

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	225700000X	Massage Therapist	MT123503	TX

General Provider Information

NPI Number	:	1558169649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RON BROWN

Provider Business Mailing Address
First Line	:	7777 KATY FWY APT 417
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-2066
Country	:	US
Telephone Number	:	713-373-7495
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 SPACE PARK DR STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-6305
Country	:	US
Telephone Number	:	713-282-8747
Fax Number	:

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

Provider Enumeration Date	:	03/04/2025
Last Update Date	:	03/04/2025

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Directions to “ RON BROWN ” Practice Location

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