Provider Demographics
NPI:1962635185
Name:BROWN, HAROLD SHANE (DPM)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:SHANE
Last Name:BROWN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:1050 S PRESTON RD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-3884
Mailing Address - Country:US
Mailing Address - Phone:972-382-8922
Mailing Address - Fax:972-382-8568
Practice Address - Street 1:1050 S PRESTON RD
Practice Address - Street 2:SUITE 119
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-3884
Practice Address - Country:US
Practice Address - Phone:972-382-8922
Practice Address - Fax:972-382-8568
Is Sole Proprietor?:No
Enumeration Date:2009-09-04
Last Update Date:2014-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5901002329213ES0103X
TX2001213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery