Provider Demographics
NPI:1609845353
Name:BROWN, RICHARD N (MD)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:N
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 678397
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75267-8397
Mailing Address - Country:US
Mailing Address - Phone:972-562-1388
Mailing Address - Fax:972-562-1344
Practice Address - Street 1:1441 REDBUD BLVD
Practice Address - Street 2:SUITE 261
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-3224
Practice Address - Country:US
Practice Address - Phone:972-562-1388
Practice Address - Fax:972-562-1344
Is Sole Proprietor?:No
Enumeration Date:2006-03-15
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3253208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V8110OtherBCBS
H71927Medicare UPIN
TX8A9830Medicare PIN