Provider Demographics
NPI:1578513578
Name:BROWNSVILLE LUNG ASSOCIATES, LLC
Entity Type:Organization
Organization Name:BROWNSVILLE LUNG ASSOCIATES, LLC
Other - Org Name:BENCHMARK MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMININSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ADELINE (NINA)
Authorized Official - Middle Name:
Authorized Official - Last Name:CORNEJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-428-2030
Mailing Address - Street 1:844 CENTRAL BLVD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-7552
Mailing Address - Country:US
Mailing Address - Phone:956-428-7862
Mailing Address - Fax:956-428-1900
Practice Address - Street 1:3502 W ALBERTA RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-8466
Practice Address - Country:US
Practice Address - Phone:956-618-2961
Practice Address - Fax:956-618-2923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty