Healthcare Provider Details

I. General information

NPI: 1952512469
Provider Name (Legal Business Name): VALLEY BAPTIST MEDICAL CENTER - BROWNSVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2007
Last Update Date: 10/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TED HUNT BLVD
BROWNSVILLE TX
78521-7801
US

IV. Provider business mailing address

1040 W JEFFERSON ST
BROWNSVILLE TX
78520-6338
US

V. Phone/Fax

Practice location:
  • Phone: 956-698-5400
  • Fax: 956-698-5747
Mailing address:
  • Phone: 956-698-5400
  • Fax: 956-698-5747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License Number000314
License Number StateTX

VIII. Authorized Official

Name: MS. LESLIE BINGHAM
Title or Position: SR. VICE PRESIDENT AND CEO
Credential:
Phone: 956-698-5457