Individual
LANCE F. BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 DALLAS ST, EMERGENCY ROOM, SAN ANTONIO, TX 78205-1201
(210) 614-0180
(210) 615-7170
Mailing address
1607 THRUSH COURT CIR, SAN ANTONIO, TX 78248-1756
(210) 764-7080
(210) 764-7080
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
K9738
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037590905
—
TX
01
—
8K7858
BCBSTX
TX
Enumeration date
10/13/2005
Last updated
08/21/2009
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