Healthcare Provider Details

I. General information

NPI: 1942985189
Provider Name (Legal Business Name): DCBR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 05/08/2024
Certification Date: 05/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14517 S PADRE ISLAND DR
CORPUS CHRISTI TX
78418-5951
US

IV. Provider business mailing address

14517 S PADRE ISLAND DR
CORPUS CHRISTI TX
78418-5951
US

V. Phone/Fax

Practice location:
  • Phone: 361-444-3326
  • Fax: 361-657-6007
Mailing address:
  • Phone: 361-452-8360
  • Fax: 361-452-8359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. BERNICE SILCHENSTEDT
Title or Position: COOWNER
Credential: FNP
Phone: 361-442-1353