Provider Demographics
NPI:1891034476
Name:ARI BROWN PEDIATRICS, PA
Entity Type:Organization
Organization Name:ARI BROWN PEDIATRICS, PA
Other - Org Name:411 PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ARI
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:512-327-0411
Mailing Address - Street 1:925 WESTBANK DR
Mailing Address - Street 2:SUITE #100
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6623
Mailing Address - Country:US
Mailing Address - Phone:512-327-0411
Mailing Address - Fax:
Practice Address - Street 1:925 WESTBANK DR
Practice Address - Street 2:SUITE #100
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6623
Practice Address - Country:US
Practice Address - Phone:512-327-0411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARI BROWN PEDIATRICS, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-02
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4006208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty