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NPI Code Detail

MEDICARE: PETER S BROWN MD

MEDICARE:   PETER S BROWN  MD
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
1207Q00000XFamily Medicine PhysicianF7411TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080188877OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
28AJ156OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588667158
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER S BROWN MD
Provider Business Mailing Address
First Line : 820 MONTGOMERY RD
Second Line : STE 202
City : GRAHAM
State : TX
Zip : 76450-4200
Country : US
Telephone Number : 940-549-7741
Fax Number : 855-615-3435
Provider Business Practice Location Address
First Line : 820 MONTGOMERY RD STE 202
Second Line :
City : GRAHAM
State : TX
Zip : 76450-4200
Country : US
Telephone Number : 940-549-7741
Fax Number : 855-615-3435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 05/03/2026

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Directions to “ PETER S BROWN MD” Practice Location

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