| Doctor Name: | JUSTIN LEE BROWN |
| NPI Number: | 1003110834 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 2028 |
| Business Practice Address: | 4214 Andrews Hwy Suite 305 Midland, TX - 797034822 |
| Business Phone Number: | 4326141799 |
| Business Fax Number: | 8888286791 |
| Mailing Address: | 5995 Summerside Dr Unit 794144, DALLAS |
| State: | TX |
| Postal Code: | 753790049 |
| Phone Number: | 3864909812 |
| Fax Number: | 3864909813 |
| NPI Enumeration Date: | 01/09/2011 |
| NPI Last Update Date: | 08/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 2028 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |