Provider Demographics
NPI:1245335934
Name:BROWN, BRIGITTE B (MD)
Entity type:Individual
Prefix:DR
First Name:BRIGITTE
Middle Name:B
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:255 WESTLAKE PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2649
Mailing Address - Country:US
Mailing Address - Phone:281-310-5040
Mailing Address - Fax:281-310-5045
Practice Address - Street 1:255 WESTLAKE PARK BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2649
Practice Address - Country:US
Practice Address - Phone:281-310-5040
Practice Address - Fax:281-310-5045
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.10472R207R00000X
TXM7061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1678481Medicaid
LA5W744Medicare ID - Type Unspecified
LA1678481Medicaid