Provider Demographics
NPI:1053343392
Name:BROWDER, DAN PRESTON (MD)
Entity type:Individual
Prefix:DR
First Name:DAN
Middle Name:PRESTON
Last Name:BROWDER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10909 EAST FWY # I-10
Mailing Address - Street 2:CONCENTRA MEDICAL CENTER
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1911
Mailing Address - Country:US
Mailing Address - Phone:713-973-7943
Mailing Address - Fax:713-973-7947
Practice Address - Street 1:10909 EAST FWY # I-10
Practice Address - Street 2:CONCENTRA MEDICAL CENTER
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1911
Practice Address - Country:US
Practice Address - Phone:713-973-7943
Practice Address - Fax:713-973-7947
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2010-01-29
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Provider Licenses
StateLicense IDTaxonomies
TXM2911207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM2911OtherLICENSE NUMBER
TX8L22374Medicare UPIN
TXM2911OtherLICENSE NUMBER