Individual
DR. WILLIAM RANDALL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5508 SUMMERHILL RD, TEXARKANA, TX 75503-1822
(903) 792-1292
(903) 792-2051
Mailing address
PO BOX 1325, INDIANAPOLIS, IN 46206-1325
(903) 792-1292
(903) 792-2051
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G1862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103364901
—
TX
01
—
300032042
RAILROAD MEDICARE
TX
Enumeration date
08/04/2005
Last updated
09/03/2013
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