Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | M9176 | TX |
NPI | 1033133848 |
---|---|
Provider Name | Dr. Matthew D. Brown |
First Address | Houston, TX 77030-3005 |
Second Address | Houston, TX 77030-3004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2006 |
Last Update Date | 05/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
194259101 | (05) | TX |
194259102 | CSHCN (01) | TX |
8AL075 | BCBS (01) | TX |