Individual
DR. ELISA L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6651 MAIN ST, HOUSTON, TX 77030-2351
(832) 826-7458
(832) 825-9348
Mailing address
701 W 5TH ST, SUITE 1C34, ODESSA, TX 79763-4206
(432) 335-5126
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
FTL 40722
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
N6193
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175205701
—
TX
01
—
8S1107
BCBS
TX
Enumeration date
10/12/2006
Last updated
03/06/2024
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