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NPI Code Detail

MEDICARE: MR. BYRON ANDREW BROWN DDS

MEDICARE: MR. BYRON ANDREW 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
1122300000XDentist12100TX

General Provider Information

NPI Number : 1861572521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. BYRON ANDREW BROWN DDS
Provider Business Mailing Address
First Line : 1321 N BEACH STREET
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-6613
Country : US
Telephone Number : 817-838-8805
Fax Number : 817-838-3291
Provider Business Practice Location Address
First Line : 1321 N BEACH STREET
Second Line :
City : FORT WORTH
State : TX
Zip : 76111-6613
Country : US
Telephone Number : 817-838-8805
Fax Number : 817-838-3291
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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Directions to “ MR. BYRON ANDREW BROWN DDS” Practice Location

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