Brown, Carl D

Brown, Carl D is an sole proprietor health care provider with primary practice located at 6100 Eastridge Rd , Odessa TX 79762-5002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Brown, Carl D can be contacted via phone (432) 332-2858.

Contact Information

Primary practice address
6100 Eastridge Rd Odessa TX 79762-5002
Fax: (432) 333-3697
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X F9245 Texas

Profile Details

NPI number 1104950658
LBN Legal business name Brown, Carl D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2007
Last updated Sep 2nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104950658 NPPES
Texas MEDICAID 134900302

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