Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 12303 | TX |
NPI | 1093058174 |
---|---|
Provider Name | Joshua Eugene Brown |
First Address | The Woodlands, TX 77380-2285 |
Second Address | The Woodlands, TX 77380-2285 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2013 |
Last Update Date | 27/03/2013 |