Provider Demographics
NPI:1508079823
Name:BROWNING, BRENT RAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:RAY
Last Name:BROWNING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 VINTAGE PARK BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-3999
Mailing Address - Country:US
Mailing Address - Phone:281-370-4300
Mailing Address - Fax:281-370-4305
Practice Address - Street 1:130 VINTAGE PARK BLVD STE K
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3999
Practice Address - Country:US
Practice Address - Phone:281-370-4300
Practice Address - Fax:281-370-4305
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2011-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX719613OtherUNITED CONCORDIA
TXD11709OtherBLUE CROSS BLUE SHIELD