MEDICARE: ALLISON JOAN LOUIS 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	R8046	TX

General Provider Information

NPI Number	:	1962864231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON JOAN LOUIS BROWN MD

Provider Business Mailing Address
First Line	:	200 W MAGNOLIA AVE STE 201
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76104-7657
Country	:	US
Telephone Number	:	817-702-2977
Fax Number	:	817-702-2140

Provider Business Practice Location Address
First Line	:	4925 GOLDEN TRIANGLE BLVD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76244-4492
Country	:	US
Telephone Number	:	817-741-7353
Fax Number	:	817-741-7501

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

Provider Enumeration Date	:	03/24/2016
Last Update Date	:	02/18/2026

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