Individual
CRISTAL LATANZA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1601 TRINITY ST, AUSTIN, TX 78712-1765
(512) 324-7831
(512) 324-7835
Mailing address
1601 TRINITY ST # Z0900, AUSTIN, TX 78712-1765
(512) 324-7831
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
149495
NC
207RG0100X
Gastroenterology Physician
303556
LA
207RI0008X
Hepatology Physician
303556
LA
207RI0008X
Hepatology Physician
Primary
S4271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01052576
—
MS
05
—
2430963
—
LA
Enumeration date
05/12/2008
Last updated
10/07/2024
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