Provider Demographics
NPI:1932106150
Name:BROWN, CYNTHIA D (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:D
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:301 W 18TH ST
Mailing Address - Street 2:101
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2309
Mailing Address - Country:US
Mailing Address - Phone:903-572-9050
Mailing Address - Fax:903-572-9050
Practice Address - Street 1:301 W 18TH ST
Practice Address - Street 2:101
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2309
Practice Address - Country:US
Practice Address - Phone:903-572-9050
Practice Address - Fax:903-572-9050
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9700874207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC290013995OtherRAILROAD MEDICARE
NC129C2OtherBCBS NC
NC89129C2Medicaid
NC129C2OtherBCBS NC
NCG83000Medicare UPIN