Provider Demographics
NPI:1093051781
Name:WILLIAM E. BROWN, M.D., P.A.
Entity Type:Organization
Organization Name:WILLIAM E. BROWN, M.D., P.A.
Other - Org Name:GYNECOLOGY TYLER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:903-571-0269
Mailing Address - Street 1:PO BOX 6911
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75711-6911
Mailing Address - Country:US
Mailing Address - Phone:903-597-4283
Mailing Address - Fax:903-581-2276
Practice Address - Street 1:4920 KINSEY DR
Practice Address - Street 2:SUITE 200
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-3003
Practice Address - Country:US
Practice Address - Phone:903-597-4283
Practice Address - Fax:903-581-2276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8361207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXC13849Medicare UPIN