1851410955 NPI number — DR. CRAIG KENNETH BROWN CRAIG BROWN DDS

Table of content: DR. CRAIG KENNETH BROWN CRAIG BROWN DDS (NPI 1851410955)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851410955 NPI number — DR. CRAIG KENNETH BROWN CRAIG BROWN DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BROWN
Provider First Name:
CRAIG
Provider Middle Name:
KENNETH
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
CRAIG BROWN DDS
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BROWN
Provider Other First Name:
CRAIG
Provider Other Middle Name:
KENNETH
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRAIG BROWN DDS
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1851410955
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9316 LOUETTA RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77379-6520
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-376-2706
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9316 LOUETTA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPRING
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77379-6520
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-376-2706
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/28/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223P0221X , with the licence number:  9479 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com