Provider Demographics
NPI:1982844577
Name:BROWN, JODY J (MD)
Entity Type:Individual
Prefix:DR
First Name:JODY
Middle Name:J
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11807 WESTHEIMER RD
Mailing Address - Street 2:550-206
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-6789
Mailing Address - Country:US
Mailing Address - Phone:713-416-0980
Mailing Address - Fax:
Practice Address - Street 1:11807 WESTHEIMER RD
Practice Address - Street 2:550-206
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-6789
Practice Address - Country:US
Practice Address - Phone:713-416-0980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program