Provider Demographics
NPI:1942754650
Name:BROWN, JAMES EARNEST II (PA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EARNEST
Last Name:BROWN
Suffix:II
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9531 STATE HIGHWAY 151
Mailing Address - Street 2:APT. 7203
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4426
Mailing Address - Country:US
Mailing Address - Phone:817-412-9193
Mailing Address - Fax:
Practice Address - Street 1:3107 TPC PKWY
Practice Address - Street 2:STE 102
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78259-2395
Practice Address - Country:US
Practice Address - Phone:210-338-8800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-10
Last Update Date:2016-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant