Provider Demographics
NPI:1033428594
Name:BROWN, ERIC RIORDON
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:RIORDON
Last Name:BROWN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 DABNEY ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77026-4127
Mailing Address - Country:US
Mailing Address - Phone:713-678-8067
Mailing Address - Fax:
Practice Address - Street 1:3339 ATHERTON CANYON LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1474
Practice Address - Country:US
Practice Address - Phone:713-320-0248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor