Provider Demographics
NPI:1760606883
Name:JOEL MARTIN BROWN, M.D., P.A.
Entity Type:Organization
Organization Name:JOEL MARTIN BROWN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:L
Authorized Official - Last Name:OGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-596-3201
Mailing Address - Street 1:3608 PRESTON RD
Mailing Address - Street 2:105
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-8655
Mailing Address - Country:US
Mailing Address - Phone:972-596-3201
Mailing Address - Fax:972-867-3325
Practice Address - Street 1:3608 PRESTON RD
Practice Address - Street 2:105
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-8655
Practice Address - Country:US
Practice Address - Phone:972-596-3201
Practice Address - Fax:972-867-3325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1134294457OtherTYPE I NPI
TXBM97Medicare ID - Type Unspecified
TXC13828Medicare UPIN