Provider Demographics
NPI:1487689709
Name:BROWN, GEORGE THOMAS (MD)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:THOMAS
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:215 E PARKWOOD
Mailing Address - Street 2:STE A
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546
Mailing Address - Country:US
Mailing Address - Phone:281-996-6866
Mailing Address - Fax:281-992-4416
Practice Address - Street 1:215 E PARKWOOD
Practice Address - Street 2:STE A
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546
Practice Address - Country:US
Practice Address - Phone:281-996-6866
Practice Address - Fax:281-992-4416
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG7041207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C13851Medicare UPIN
TXJ26MMedicare ID - Type Unspecified