Provider Demographics
NPI:1649273392
Name:BROWNLOW, MILTON L
Entity type:Individual
Prefix:MR
First Name:MILTON
Middle Name:L
Last Name:BROWNLOW
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 HILLCREST DR
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:76384-3100
Mailing Address - Country:US
Mailing Address - Phone:940-552-5495
Mailing Address - Fax:940-552-2473
Practice Address - Street 1:1015 HILLCREST DR
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-3100
Practice Address - Country:US
Practice Address - Phone:940-552-5495
Practice Address - Fax:940-552-2473
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2018-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX231400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092224703Medicaid
TX092224703Medicaid
TXS46622Medicare UPIN