CLARK-BROWN FAMILY CARE ASSOCIATES PA NPI 1386091940

NPI Information

NPI: 1386091940
Provider Name: CLARK-BROWN FAMILY CARE ASSOCIATES, PA

Former Legal Business Name: CHERYL CLARK BROWN

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2113 E MARTIN LUTHER KING JR BLVD
SUITE 101
AUSTIN, TX
ZIP 78702
Phone: (512) 391-9700
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CLARK-BROWN FAMILY CARE ASSOCIATES, PA is a primary care clinic center in Austin, TX. CLARK-BROWN FAMILY CARE ASSOCIATES, PA NPI is 1386091940. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Cheryl Clark Brown.

The provider's business location address is:

2113 E MARTIN LUTHER KING JR BLVD
SUITE 101
AUSTIN, TX
ZIP 78702-357
Phone: (512) 391-9700

The provider's authorized official is Cheryl Clark-brown .
The authorized official title is Owner and has the following contact phone number (512) 423-9886.

The enumeration date for this NPI number is 5/24/2016 and was last updated on 5/24/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	L6830	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	614189	OTHER	TEXAS	MEDICARE ID NUMBER
2	I04773	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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