Provider Demographics
NPI:1265576029
Name:BROWNE, ROBERT EUGENE (LP)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:EUGENE
Last Name:BROWNE
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4203 GARDENDALE ST
Mailing Address - Street 2:213-C
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3174
Mailing Address - Country:US
Mailing Address - Phone:210-316-5454
Mailing Address - Fax:210-616-0911
Practice Address - Street 1:4203 GARDENDALE ST
Practice Address - Street 2:213-C
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3174
Practice Address - Country:US
Practice Address - Phone:210-316-5454
Practice Address - Fax:210-616-0911
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPF0097171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor