Organization Name: | LYNUS BROWN JR MD PA |
NPI Number: | 1235338807 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNUS BROWN (PRESIDENT) |
Mailing Address: | 4534 Westgate Blvd. Ste. 114 Austin |
State: | TX US |
Postal Code: | 78745 |
Phone Number: | 5123587184 |
Fax Number: | 5123587188 |
NPI Enumeration Date: | 07/13/2007 |
NPI Last Update Date: | 07/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | H5426 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |