MEDICARE: RANDAL LANE 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
1	207Q00000X	Family Medicine Physician	K7668	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0068LM	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	8U1322	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1831167956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDAL LANE BROWN MD

Provider Business Mailing Address
First Line	:	6100 HARRIS PKWY STE 1240
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4248
Country	:	US
Telephone Number	:	817-433-5155
Fax Number	:	817-433-5177

Provider Business Practice Location Address
First Line	:	6100 HARRIS PKWY
Second Line	:	1240
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4101
Country	:	US
Telephone Number	:	817-433-5155
Fax Number	:	817-433-5177

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

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	01/09/2019

Similar Medicare Providers

1356729297 — DR. JENNA LEE BATES DO
Practice Location Address:

6100 HARRIS PKWY
FORT WORTH, TX
76132-4101

Practice Phone: 817-433-5977
Practice Fax:

1578564704 — DR. PETER L RUTLEDGE M.D.
Practice Location Address:

6100 HARRIS PKWY , SUITE 270
FORT WORTH, TX
76132-4101

Practice Phone: 817-433-5978
Practice Fax: 817-433-5980

1568457968 — SAVITA R KURUP MD
Practice Location Address:

6100 HARRIS PKWY
FORT WORTH, TX
76132-4101

Practice Phone: 817-433-5977
Practice Fax: 817-433-5989

1467422444 — DR. BERKELEY MERRILL M.D.
Practice Location Address:

6100 HARRIS PKWY STE 1240 , PEASE BUILDING
FORT WORTH, TX
76132-4101

Practice Phone: 817-346-0075
Practice Fax: 817-346-0097

1043280910 — GREGORY WAYNE HANSON M.D.
Practice Location Address:

6100 HARRIS PKWY , SUITE 240
FORT WORTH, TX
76132-4101

Practice Phone: 817-504-5699
Practice Fax:

1790759942 — DR. PETER IRWIN M.D.
Practice Location Address:

6100 HARRIS PKWY , SUITE 300
FORT WORTH, TX
76132-4101

Practice Phone: 817-433-5928
Practice Fax: 817-433-5930

Directions to “ RANDAL LANE BROWN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.