Provider Demographics
NPI:1851399398
Name:BROWN, THOMAS C (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:C
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26499
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-2015
Mailing Address - Country:US
Mailing Address - Phone:830-896-6262
Mailing Address - Fax:830-896-6269
Practice Address - Street 1:251 CULLY DR STE B
Practice Address - Street 2:
Practice Address - City:KERRVILLE
Practice Address - State:TX
Practice Address - Zip Code:78028-6084
Practice Address - Country:US
Practice Address - Phone:830-896-6262
Practice Address - Fax:830-896-6269
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM7066208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191199201Medicaid
TXP00459402Medicare PIN
TXG28395Medicare UPIN
TX191199201Medicaid