Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | P0012 | TX |
NPI | 1255576328 |
---|---|
Provider Name | Rodger H Brown |
First Address | Houston, TX 77030-4101 |
Second Address | Houston, TX 77030-4101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2008 |
Last Update Date | 11/07/2012 |