Provider Demographics
NPI:1053605808
Name:BROWNLEE, TITANIA MARTIN (DDS)
Entity type:Individual
Prefix:DR
First Name:TITANIA
Middle Name:MARTIN
Last Name:BROWNLEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13411 HILLIARD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-5635
Mailing Address - Country:US
Mailing Address - Phone:281-464-4613
Mailing Address - Fax:281-464-4625
Practice Address - Street 1:13411 HILLIARD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-5635
Practice Address - Country:US
Practice Address - Phone:281-464-4613
Practice Address - Fax:281-464-4625
Is Sole Proprietor?:No
Enumeration Date:2011-06-08
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056292122300000X
390200000X
NY056292-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program