BENITA ROYAL BROWN PA NPI 1114056736

NPI Information

NPI: 1114056736
Provider Name: BENITA ROYAL BROWN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030
Phone: (713) 792-6161
Get Directions

Benita Royal Brown, PA is a medical physician assistant in Houston, TX. Benita Royal Brown, PA NPI is 1114056736. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1515 HOLCOMBE BLVD
HOUSTON, TX
ZIP 77030-009
Phone: (713) 792-6161

The NPI 1114056736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/2/2007 and was last updated on 9/11/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA03182	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P01090412	OTHER	TEXAS	RAILROAD MEDICARE PTAN
2	417104YKQH (MDACC)	MEDICARE PIN	TEXAS
3	P00609140	OTHER	TEXAS	RAILROAD MEDICARE
4	346642701 (MDACC)	MEDICAID	TEXAS
5	TXB156910	MEDICARE PIN	TEXAS
6	875N25	OTHER	TEXAS	BC/BS#
7	8K0680	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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