Provider Demographics
NPI:1437594355
Name:BROWN, RAYMOND JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:JOSEPH
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12309 N MOPAC EXPY STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-2604
Mailing Address - Country:US
Mailing Address - Phone:512-339-4040
Mailing Address - Fax:512-339-1663
Practice Address - Street 1:12309 N MOPAC EXPY STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-2604
Practice Address - Country:US
Practice Address - Phone:512-339-4040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXR5980207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXR5980OtherTEXAS MEDICAL LICENSE