Individual
MR. JUSTIN MICHAEL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
7979 WURZBACH RD, 3RD FLOOR-URSCHEL BLDG, SAN ANTONIO, TX 78229-4427
(210) 450-0999
(210) 450-4965
Mailing address
7703 FLOYD CURL DR, SAN ANTONIO, TX 78229-3901
(210) 450-0999
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP132346
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
365596101
—
TX
01
—
365596102
CSHCN
TX
Enumeration date
10/20/2016
Last updated
01/23/2017
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