Provider Demographics
NPI:1578513735
Name:BROWN, COURTNEY G (MD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:G
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1600 MEDICAL CENTER DR STE 214
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5008
Mailing Address - Country:US
Mailing Address - Phone:915-351-9200
Mailing Address - Fax:915-351-9266
Practice Address - Street 1:1600 MEDICAL CENTER DR STE 214
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5008
Practice Address - Country:US
Practice Address - Phone:915-351-9200
Practice Address - Fax:915-351-9266
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2023-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXL6301208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160258303Medicaid
TX160258303Medicaid