Organization
STEPHEN R. BROWN, M.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN R. BROWN M.D. (OWNER/MANAGER)
(903) 792-6944
Entity
Organization
Contact information
Practice address
2006 MOORES LN, TEXARKANA, TX 75503-1840
(903) 792-6944
(903) 792-6213
Mailing address
2006 MOORES LN, TEXARKANA, TX 75503-1840
(903) 792-6944
(903) 792-6213
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00EZ54
MEDICARE ID
TX
05
—
0330789-01
—
TX
05
—
80549
—
AR
Enumeration date
01/17/2014
Last updated
01/17/2014
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