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NPI Code Detail

MEDICARE: JAMES W BROWN DDS

MEDICARE: JAMES W 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
1208D00000XGeneral Practice Physician14905TX

General Provider Information

NPI Number : 1659449981
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES W BROWN DDS
Provider Business Mailing Address
First Line : PO BOX 201895
Second Line : 1806 SW W WHITE ROAD
City : SAN ANTONIO
State : TX
Zip : 78220
Country : US
Telephone Number : 210-333-7110
Fax Number : 210-359-7266
Provider Business Practice Location Address
First Line : 1806 S WW WHITE ROAD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78220
Country : US
Telephone Number : 210-333-7110
Fax Number : 210-359-7266
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/08/2007

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