Provider Demographics
NPI:1891089488
Name:LAUREN BROWNFIELD, DDS, MS, PA
Entity Type:Organization
Organization Name:LAUREN BROWNFIELD, DDS, MS, PA
Other - Org Name:TEXAS DENTAL SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:713-790-0288
Mailing Address - Street 1:1407 SOUTHMORE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5845
Mailing Address - Country:US
Mailing Address - Phone:713-790-0288
Mailing Address - Fax:713-790-0289
Practice Address - Street 1:6410 FANNIN ST
Practice Address - Street 2:SUITE 1512
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3000
Practice Address - Country:US
Practice Address - Phone:713-790-0288
Practice Address - Fax:713-790-0289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX234841223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty