Provider Demographics
NPI:1093058174
Name:BROWN, JOSHUA EUGENE (DC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:EUGENE
Last Name:BROWN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25275 BUDDE RD
Mailing Address - Street 2:SUITE #27
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2285
Mailing Address - Country:US
Mailing Address - Phone:832-813-8451
Mailing Address - Fax:832-813-8783
Practice Address - Street 1:25275 BUDDE RD
Practice Address - Street 2:SUITE #27
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2285
Practice Address - Country:US
Practice Address - Phone:832-813-8451
Practice Address - Fax:832-813-8783
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12303111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician