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General NPI Number Information
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NPI Number | 1720151392
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE PODIATRIC WOUND CARE AND SURGERY
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 40 MARSELLA BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-7936
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Country | US
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Telephone | 956-574-9733
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Fax | 956-574-9730
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Provider Business Mailing Address
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Address Line | 5493 RUSTIC MANOR DR
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3920
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Country | US
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Telephone | 956-574-9733
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Fax | 956-574-9730
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | JANNETTE VENEGAS
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Credential |
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Telephone | 956-574-9733
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 1452
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License Number State | TX
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