Provider Demographics
NPI:1124286216
Name:LEPOW, BRIAN DAVID (DPM)
Entity type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:DAVID
Last Name:LEPOW
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:ONE BAYLOR PLAZA
Mailing Address - Street 2:MS 390
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030
Mailing Address - Country:US
Mailing Address - Phone:713-798-7851
Mailing Address - Fax:713-798-8911
Practice Address - Street 1:7200 CAMBRIDGE ST
Practice Address - Street 2:SUITE 6B
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-798-5700
Practice Address - Fax:713-798-8460
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1941213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX288220101Medicaid