Healthcare Provider Details

I. General information

NPI: 1346239753
Provider Name (Legal Business Name): BROWNSVILLE DOCTORS HOSPITAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4750 N EXPRESSWAY
BROWNSVILLE TX
78526-4120
US

IV. Provider business mailing address

4750 N EXPRESSWAY
BROWNSVILLE TX
78526-4120
US

V. Phone/Fax

Practice location:
  • Phone: 956-554-2014
  • Fax: 956-554-2001
Mailing address:
  • Phone: 956-554-2014
  • Fax: 956-554-2001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number007249
License Number StateTX

VIII. Authorized Official

Name: MR. JORGE M RAMIREZ
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 956-554-2014