Provider Demographics
NPI:1659471696
Name:CHANG-BROWN, MARLENE C (MD)
Entity Type:Individual
Prefix:DR
First Name:MARLENE
Middle Name:C
Last Name:CHANG-BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 N WARE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-8587
Mailing Address - Country:US
Mailing Address - Phone:956-585-4704
Mailing Address - Fax:956-585-6775
Practice Address - Street 1:1417 N WARE RD STE 300
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-8587
Practice Address - Country:US
Practice Address - Phone:956-585-4704
Practice Address - Fax:956-585-6775
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9998207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110189263OtherRAIL ROAD MEDICARE
TX113377903Medicaid
TXTXB126938OtherWELLMED PTAN
TX113377904Medicaid
TX113377904Medicaid
TXTXB112059Medicare PIN