Provider Demographics
NPI:1346250149
Name:BROWN, WILLIAM E (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
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 1:4290 KINSEY DR
Mailing Address - Street 2:STE 200
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-1024
Mailing Address - Country:US
Mailing Address - Phone:903-597-4283
Mailing Address - Fax:
Practice Address - Street 1:4290 KINSEY DR
Practice Address - Street 2:STE 200
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-1024
Practice Address - Country:US
Practice Address - Phone:903-597-4283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8361207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology