Marlo Brawner
MD | Pediatric Adolescent Medicine | Female
Marlo Brawner, MD is a Livingston, Texas based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Marlo Brawner is
400 Ogletree Dr, Livingston, Texas - 77351-6783. She can be contacted on phone at
936-328-8812 and fax number 936-328-8815.
Marlo Brawner is a sole proprietor of her business.
NPI number (Unique professional ID) for Marlo Brawner is
1033218730 which was assigned by NPPES on 21 Sep, 2006 and it was last updated on 21 Mar, 2011.
Marlo Brawner license number is
L6736 for Pediatrics Adolescent Medicine (2080A0000X) in Texas.
Marlo Brawner specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Marlo Brawner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Marlo Brawner |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Marlo Brawner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 400 Ogletree Dr
Livingston, TX, 77351-6783
United States |
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| Phone Number : | 936-328-8812 |
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| Fax Number : | 936-328-8815 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1033218730 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Sep, 2006 |
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| Last Updated On : | 21 Mar, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marlo Brawner are as mentioned. Primary taxonomy code for Marlo Brawner, MD is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | L6736 | TX |
Legacy Identifiers:
Other legacy medical identifiers of Marlo Brawner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 159580303 | MEDICAID | TX | |
| 201510339 | Other | TX | TAX ID NUMBER |
| 169920902 | MEDICAID | TX | |
| 21239 | Other | TX | CHOICE ONE CHIPS |
| 8P9491 | Other | TX | BCBS NUMBER |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 400 Ogletree Dr
Livinston, TX, 77351
United States |
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| Phone Number : | 936-328-8812 |
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| Fax Number : | 936-328-8815 |
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Business Location:
Patients can refer following map for directions to
Marlo Brawner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.