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NPI Code Detail

MEDICARE: BRUSHLAND COMMUNITY HEALTH CLINIC

MEDICARE: BRUSHLAND COMMUNITY HEALTH CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal Medicine

General Provider Information

NPI Number : 1124167432
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRUSHLAND COMMUNITY HEALTH CLINIC
Provider Business Mailing Address
First Line : PO BOX 98
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-0098
Country : US
Telephone Number : 956-487-2585
Fax Number : 956-487-6670
Provider Business Practice Location Address
First Line : 1302 SOUTH SAINT MARY'S ST
Second Line :
City : FALFURRIAS
State : TX
Zip : 78355
Country : US
Telephone Number : 361-325-9404
Fax Number : 361-325-9564
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. FRANCISCO G ZARATE
Credential :
Telephone Number : 956-487-2585
Provider Enumeration Date : 02/05/2007
Last Update Date : 08/22/2020

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Directions to “BRUSHLAND COMMUNITY HEALTH CLINIC ” Practice Location

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