Individual
DR. MICHAEL DEWAYNE BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1425 E LINCOLN RD STE B3, IDABEL, OK 74745-7345
(580) 286-2947
(580) 286-8287
Mailing address
1055 CLARKSVILLE ST, SUITE 155, PARIS, TX 75460-6097
(903) 737-8808
(903) 737-8860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7974
OK
208600000X
Surgery Physician
M5650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
186360701
—
TX
Enumeration date
01/19/2007
Last updated
11/14/2023
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