Willie Lee Brown JR.
Obstetrician
6225 N Fresno St Ste 104
Fresno
, California 93710-5268
Willie Lee Brown JR.
Obstetrician
6225 N Fresno St Ste 104
Fresno
, California 93710-5268
(559) 265-4454
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Willie Lee Brown JR.
- 6225 N Fresno St Ste 104
- Fresno, CA
- Zip : 93710-5268
- Fax : (559) 265-4454
- Phone : (559) 265-4444
Second Address
- Willie Lee Brown JR.
- 6225 N Fresno St Ste 104
- Fresno, CA
- Zip : 93710-5268
- Fax : (559) 265-4454
- Phone : (559) 265-4444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | A40710 | CA |
National Provider Identifier
| NPI | 1043300874 |
|---|---|
| Provider Name | Willie Lee Brown JR. |
| First Address | Fresno, CA 93710-5268 |
| Second Address | Fresno, CA 93710-5268 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 08/12/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A407100 | MEDICAID INDIVIDUAL (01) | CA |
| A29190 | (02) | |
| GR0029520 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.