MEDICARE: BROWN CLINIC & ASSOCIATES

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	D2373	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932103421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWN CLINIC & ASSOCIATES

Provider Business Mailing Address
First Line	:	9622 WEBB CHAPEL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-4940
Country	:	US
Telephone Number	:	214-358-3601
Fax Number	:	214-358-3639

Provider Business Practice Location Address
First Line	:	9622 WEBB CHAPEL RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75220-4940
Country	:	US
Telephone Number	:	214-358-3601
Fax Number	:	214-358-3639

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MS. MARIA B STEPHENS
Credential	:
Telephone Number	:	214-358-3601

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	03/11/2010

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Directions to “BROWN CLINIC & ASSOCIATES ” Practice Location

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