Provider Demographics
NPI:1790076826
Name:JONES BROWN, ELISABETH GRACE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELISABETH
Middle Name:GRACE
Last Name:JONES BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2925 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-3428
Mailing Address - Country:US
Mailing Address - Phone:972-890-2884
Mailing Address - Fax:
Practice Address - Street 1:3150 MATLOCK RD STE 401
Practice Address - Street 2:MEDICAL CENTER OF ARLINGTON
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2924
Practice Address - Country:US
Practice Address - Phone:817-375-9790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-24
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
TXQ9835208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program