Provider Demographics
NPI:1720423577
Name:BROWN, CURTIS ROY (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:ROY
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6131 LUTHER LN STE 216
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6200
Mailing Address - Country:US
Mailing Address - Phone:214-987-2020
Mailing Address - Fax:214-739-3725
Practice Address - Street 1:6131 LUTHER LN STE 216
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6200
Practice Address - Country:US
Practice Address - Phone:214-987-2020
Practice Address - Fax:214-739-3725
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019039153207W00000X
TXU2447207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200080808Medicaid