Provider Demographics
NPI:1134294457
Name:BROWN, JOEL MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:MARTIN
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3608 PRESTON RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8655
Mailing Address - Country:US
Mailing Address - Phone:972-596-3201
Mailing Address - Fax:972-867-3325
Practice Address - Street 1:3608 PRESTON RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8655
Practice Address - Country:US
Practice Address - Phone:972-596-3201
Practice Address - Fax:972-867-3325
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE5016207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C13828Medicare UPIN
TXBM97Medicare ID - Type Unspecified