Provider Demographics
NPI:1922040971
Name:BROWN, MARVIN R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:R
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:400 CONCORD PLAZA DR
Mailing Address - Street 2:300
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-6905
Mailing Address - Country:US
Mailing Address - Phone:210-593-1400
Mailing Address - Fax:210-593-1407
Practice Address - Street 1:400 CONCORD PLAZA DR
Practice Address - Street 2:300
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-6905
Practice Address - Country:US
Practice Address - Phone:210-593-1400
Practice Address - Fax:210-593-1407
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2007-10-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXG4866207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4295140OtherAETNA
TX7601675OtherCIGNA
TX8B8390OtherBCBS
TX7601675OtherCIGNA
TXE30949Medicare UPIN