Provider Demographics
NPI:1063833085
Name:BROWNSVILLE FAMILY DENTISTRY PLLC
Entity Type:Organization
Organization Name:BROWNSVILLE FAMILY DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-428-5322
Mailing Address - Street 1:1214 DIXIELAND RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78552-3351
Mailing Address - Country:US
Mailing Address - Phone:956-428-5322
Mailing Address - Fax:956-428-7986
Practice Address - Street 1:1650 PAREDES LINE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-1660
Practice Address - Country:US
Practice Address - Phone:956-982-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty