Provider Demographics
NPI:1326290073
Name:CHARMAINE BROWNE MDPA
Entity Type:Organization
Organization Name:CHARMAINE BROWNE MDPA
Other - Org Name:DERMATOLOGY INSTITUTE OF SOUTH TEXA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHARMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-661-0500
Mailing Address - Street 1:3330 N MCCOLL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5766
Mailing Address - Country:US
Mailing Address - Phone:956-661-0500
Mailing Address - Fax:956-661-0510
Practice Address - Street 1:3330 N MCCOLL RD STE 102
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5766
Practice Address - Country:US
Practice Address - Phone:956-661-0500
Practice Address - Fax:956-661-0510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK9739207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty