Provider Demographics
NPI:1407876717
Name:BROWN, STEVEN K (CRNA)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:K
Last Name:BROWN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 MEDICAL PLAZA DR STE 130
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3257
Mailing Address - Country:US
Mailing Address - Phone:281-806-5758
Mailing Address - Fax:281-946-5738
Practice Address - Street 1:1001 MEDICAL PLAZA DR STE 130
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3257
Practice Address - Country:US
Practice Address - Phone:281-946-5738
Practice Address - Fax:281-806-5758
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX581657163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXS37059Medicare UPIN