Provider Demographics
NPI:1689101099
Name:BROWN, STERLING THORNTON (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:STERLING
Middle Name:THORNTON
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4803 JEFFERSON AVE
Mailing Address - Street 2:# 126
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-1143
Mailing Address - Country:US
Mailing Address - Phone:903-884-5770
Mailing Address - Fax:
Practice Address - Street 1:4803 JEFFERSON AVE
Practice Address - Street 2:# 126
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1143
Practice Address - Country:US
Practice Address - Phone:903-884-5770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-16
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-11929207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine