Provider Demographics
NPI:1942985189
Name:DCBR LLC
Entity Type:Organization
Organization Name:DCBR LLC
Other - Org Name:ALTHEA MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COOWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BERNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SILCHENSTEDT
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:361-442-1353
Mailing Address - Street 1:14006 RUDDER CT
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78418-6168
Mailing Address - Country:US
Mailing Address - Phone:361-442-1353
Mailing Address - Fax:
Practice Address - Street 1:14517 S PADRE ISLAND DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-5951
Practice Address - Country:US
Practice Address - Phone:361-452-8360
Practice Address - Fax:361-452-8359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-15
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty