Provider Demographics
NPI:1821187295
Name:BROWN, ANTHONY EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:EDWARD
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 BELLAIRE BLVD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4526
Mailing Address - Country:US
Mailing Address - Phone:713-441-9040
Mailing Address - Fax:713-838-8061
Practice Address - Street 1:4710 BELLAIRE BLVD
Practice Address - Street 2:SUITE 250
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4526
Practice Address - Country:US
Practice Address - Phone:713-441-9040
Practice Address - Fax:713-838-8061
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL7991207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX170763001Medicaid
TX170763006Medicaid
TX170763007Medicaid
TX8FA169OtherBCBS
TX8FT504OtherBCBS
TXP01510304OtherRR MEDICARE
TXP01669519OtherRR MEDICARE
TX8FA169OtherBCBS
TX8FT504OtherBCBS
TX170763007Medicaid
TXP00237451Medicare PIN
TX344278YMVQMedicare PIN