MEDICARE: GREGORY E 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	207R00000X	Internal Medicine Physician	Q6397	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Q6397	OTHER	TX	TX LICENSE

General Provider Information

NPI Number	:	1922147933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GREGORY E BROWN MD

Provider Business Mailing Address
First Line	:	4085 DE ZAVALA RD STE 200
Second Line	:
City	:	SHAVANO PARK
State	:	TX
Zip	:	78249-2084
Country	:	US
Telephone Number	:	210-558-6288
Fax Number	:	210-558-6289

Provider Business Practice Location Address
First Line	:	4360 GRECO DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78222-2725
Country	:	US
Telephone Number	:	210-648-8200
Fax Number	:	855-392-7988

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

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	02/17/2025

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