Organization
CLARK-BROWN FAMILY CARE ASSOCIATES, PA
Active
Other names
Cheryl Clark Brown
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHERYL CLARK-BROWN M.D. (OWNER)
(512) 423-9886
Entity
Organization
Contact information
Practice address
2113 E MARTIN LUTHER KING JR BLVD, SUITE 101, AUSTIN, TX 78702-1357
(512) 391-9700
Mailing address
2113 E MARTIN LUTHER KING JR BLVD, SUITE 101, AUSTIN, TX 78702-1357
(512) 391-9700
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
L6830
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
614189
MEDICARE ID NUMBER
TX
Enumeration date
05/24/2016
Last updated
05/24/2016
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