Provider Demographics
NPI:1003361262
Name:EL DORADO TEXAS COMMUNITY SERVIES-BROWNSVILLE
Entity Type:Organization
Organization Name:EL DORADO TEXAS COMMUNITY SERVIES-BROWNSVILLE
Other - Org Name:BROWNSVILLE HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BLANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-254-6630
Mailing Address - Street 1:954 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-5950
Mailing Address - Country:US
Mailing Address - Phone:956-550-9970
Mailing Address - Fax:965-982-4294
Practice Address - Street 1:954 E MADISON ST
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-5950
Practice Address - Country:US
Practice Address - Phone:956-550-9970
Practice Address - Fax:965-982-4294
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1831402981
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-17
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30484261QM2800X
261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder