Organization
BROWN MEDICAL GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYNTHIA D BROWN M.D. (PRESIDENT)
(903) 577-7100
Entity
Organization
Contact information
Practice address
2001 N JEFFERSON AVE, SUITE 203, MOUNT PLEASANT, TX 75455-2338
(903) 577-7100
(903) 577-7102
Mailing address
PO BOX 1592, MOUNT PLEASANT, TX 75456-1592
(903) 577-7100
(903) 577-7102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M7876
TX
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M7876
TX
207RP1001X
Pulmonary Disease Physician
M7876
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0071RE
BCBS INDIVIDUAL
TX
01
—
0098RL
BCBS
TX
05
—
1903122
—
TX
01
—
1932106150
INDIVIDUAL NPI
—
Enumeration date
05/19/2008
Last updated
10/25/2012
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