Organization
DAVID LANE BROWN, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LANE BROWN MD (OWNER)
(903) 295-8990
Entity
Organization
Contact information
Practice address
911 NW LOOP 281, SUITE 111, LONGVIEW, TX 75604
(903) 295-8990
(903) 295-8987
Mailing address
911 NW LOOP 281, SUITE 111, LONGVIEW, TX 75604
(903) 295-8990
(903) 295-8987
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
H8911
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128614804
—
TX
Enumeration date
02/11/2009
Last updated
02/11/2009
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