Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | K1168 | TX |
NPI | 1962422386 |
---|---|
Provider Name | Dr. David Scott Brown |
First Address | Colleyville, TX 76034-7593 |
Second Address | Southlake, TX 76092 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 08/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
152988503 | (05) | TX |
152988507 | (05) | TX |
H68517 | (02) | TX |