Provider Demographics
NPI:1386752699
Name:BROWN, JASON P (MD)
Entity type:Individual
Prefix:
First Name:JASON
Middle Name:P
Last Name:BROWN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 RVG PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-5241
Mailing Address - Country:US
Mailing Address - Phone:469-848-7070
Mailing Address - Fax:469-848-7071
Practice Address - Street 1:151 RVG PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-5241
Practice Address - Country:US
Practice Address - Phone:469-848-7070
Practice Address - Fax:469-848-7071
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL2822207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00229ZOtherMEDICARE GROUP
TX149332202Medicaid
TXH60260Medicare UPIN
TX8F0746Medicare ID - Type Unspecified