Provider Demographics
NPI:1588995070
Name:BROWDER CLINIC, PLLC
Entity type:Organization
Organization Name:BROWDER CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:BOND
Authorized Official - Last Name:BROWDER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-732-3633
Mailing Address - Street 1:7005 WOODWAY DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6169
Mailing Address - Country:US
Mailing Address - Phone:254-732-3633
Mailing Address - Fax:254-732-3661
Practice Address - Street 1:7005 WOODWAY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6169
Practice Address - Country:US
Practice Address - Phone:254-732-3633
Practice Address - Fax:254-732-3661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE8356174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00LM98Medicare PIN
TXC13819Medicare UPIN