Provider Demographics
NPI:1659576056
Name:BROWNSVILLE DOCTORS HOSPITAL
Entity Type:Organization
Organization Name:BROWNSVILLE DOCTORS HOSPITAL
Other - Org Name:BROWNSVILLE SURGICAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-554-2014
Mailing Address - Street 1:4750 N EXPRESSWAY
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4120
Mailing Address - Country:US
Mailing Address - Phone:956-554-2000
Mailing Address - Fax:
Practice Address - Street 1:4750 N EXPRESSWAY
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4120
Practice Address - Country:US
Practice Address - Phone:956-554-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007249261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140731401Medicaid
TX10008528OtherAMERIGROUP
TXHH1010OtherBLUE CROSS PROVIDER NUMBE
TX=========OtherTAX INDENTIFIER NUMBER
TX10008528OtherAMERIGROUP