Provider Demographics
NPI:1588847610
Name:BROWN, TRAVIS GREGORY (MD)
Entity Type:Individual
Prefix:DR
First Name:TRAVIS
Middle Name:GREGORY
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1595
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-1595
Mailing Address - Country:US
Mailing Address - Phone:469-672-6687
Mailing Address - Fax:184-496-5942
Practice Address - Street 1:423 E MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:TX
Practice Address - Zip Code:76065-3345
Practice Address - Country:US
Practice Address - Phone:469-672-6687
Practice Address - Fax:184-496-5942
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2016-02-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXN1564207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine