Provider Demographics
NPI:1386007342
Name:SHAYLON V BROWNFIELD MD PA
Entity Type:Organization
Organization Name:SHAYLON V BROWNFIELD MD PA
Other - Org Name:GENESIS OB/GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAYLON
Authorized Official - Middle Name:VANISE
Authorized Official - Last Name:BROWNFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-665-5472
Mailing Address - Street 1:1140 WESTMONT DR
Mailing Address - Street 2:SUITE 330
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77015-4363
Mailing Address - Country:US
Mailing Address - Phone:832-668-5472
Mailing Address - Fax:832-668-5947
Practice Address - Street 1:1140 WESTMONT DR
Practice Address - Street 2:SUITE 330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015-4363
Practice Address - Country:US
Practice Address - Phone:832-668-5472
Practice Address - Fax:832-668-5947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1541207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty