Provider Demographics
NPI:1992700835
Name:BROWN, TIMOTHY PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:PAUL
Last Name:BROWN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8475 HIGHWAY 6 NORTH
Mailing Address - Street 2:SUITE C2
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095
Mailing Address - Country:US
Mailing Address - Phone:281-550-4444
Mailing Address - Fax:281-550-4844
Practice Address - Street 1:8475 HIGHWAY 6 NORTH
Practice Address - Street 2:SUITE C2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095
Practice Address - Country:US
Practice Address - Phone:281-550-4444
Practice Address - Fax:281-550-4844
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16812122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist