Provider Demographics
NPI:1346464773
Name:BROWN, ANTHONY LAMARR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:LAMARR
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 1:1714 WELCH ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-1733
Mailing Address - Country:US
Mailing Address - Phone:713-385-2056
Mailing Address - Fax:
Practice Address - Street 1:3534 VISTA RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504
Practice Address - Country:US
Practice Address - Phone:713-385-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2019-08-28
Deactivation Date:2007-07-17
Deactivation Code:
Reactivation Date:2010-10-12
Provider Licenses
StateLicense IDTaxonomies
MO2006015926207L00000X
TXN6192207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX216186102Medicaid
TX216186103Medicaid
TX216186102Medicaid