Provider Demographics
NPI:1487633145
Name:BROWNLEE, JOHN R (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:R
Last Name:BROWNLEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3533 S ALAMEDA ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1721
Mailing Address - Country:US
Mailing Address - Phone:361-694-5086
Mailing Address - Fax:361-694-5086
Practice Address - Street 1:3533 S ALAMEDA ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1721
Practice Address - Country:US
Practice Address - Phone:361-694-5086
Practice Address - Fax:361-855-9518
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2012-07-26
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Provider Licenses
StateLicense IDTaxonomies
TXJ57132080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00609XMedicare UPIN
TX8K0631Medicare PIN