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General NPI Number Information
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NPI Number | 1255287066
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE COMMUNITY HEALTH CLINIC CORPORATION
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Dates
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Enumeration Date | 03/05/2026
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 610 N REYNOLDS STREET
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City | RIO HONDO
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State | TX
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Zip | 78583-3227
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Country | US
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Telephone | 956-548-7400
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Fax | 956-621-3689
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Provider Business Mailing Address
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Address Line | 191 E PRICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-3527
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Country | US
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Telephone | 956-548-7400
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Fax | 956-621-3689
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JASON WALLACE
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Credential |
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Telephone | 956-548-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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