Organization Active NPI

Texas Federal Wellness Center of Brownsville

  • General Practice Physician
  • Brownsville, TX
National Provider Identifier
1275066912
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TEXAS FEDERAL WELLNESS CENTER OF BROWNSVILLE
Practice address
1000 Calle Milagros
A
Brownsville, TX 78526-0022
Phone
(956) 561-4894
Fax
(956) 561-4893
NPI assigned
Apr 10, 2017
Last updated
Apr 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Candice Zimmer
Title
Credentialing Specialist
Phone
(956) 561-4894

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU
General Practice Physician 208D00000X NU Primary
Podiatrist 213E00000X NU
Physician Assistant 363A00000X NU

Addresses

Primary practice location

1000 Calle Milagros
A
Brownsville, TX 78526-0022

Mailing address

1000 Calle Milagros
A
Brownsville, TX 78526-0022
Phone (956) 561-4894

National Provider Directory

National Provider Directory

Locations

1000 Calle Milagros
Ste A
Brownsville, TX 78526
Phone (956) 561-4894

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1275066912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CALLE MILAGROS",
            "address_2": "A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785260022",
            "telephone_number": "956-561-4894",
            "fax_number": "956-561-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CALLE MILAGROS",
            "address_2": "A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785260022",
            "telephone_number": "956-561-4894",
            "fax_number": "956-561-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FEDERAL WELLNESS CENTER OF BROWNSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "ZIMMER",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "956-561-4894"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.