Provider Demographics
NPI:1982661666
Name:CITY OF BROWNSVILLE
Entity Type:Organization
Organization Name:CITY OF BROWNSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PETE
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-541-9491
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78522-0911
Mailing Address - Country:US
Mailing Address - Phone:956-541-9491
Mailing Address - Fax:956-544-3257
Practice Address - Street 1:625 E. 12TH STREET
Practice Address - Street 2:MARKET SQUARE
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-541-9491
Practice Address - Fax:956-544-3257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX031010341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX000074701Medicaid
TX000074701Medicaid
TX000074701Medicaid