Active NPI
El Picc Stat
Doing business as Etta Cavin RN
- Legal Medicine
- Brownsville, TX
National Provider Identifier
1902094105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- F6922
- Legal business name
- EL PICC STAT
- Doing business as
- Etta Cavin RN
- Practice address
- 1040 W Jefferson St
Brownsville, TX 78520-6338 - Phone
- (940) 781-8837
- Fax
- (940) 692-4136
- NPI assigned
- Oct 12, 2007
- Last updated
- Oct 12, 2007
- Organization subpart
- Yes
- Parent organization
- ROBERT L. MCBROOM
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary M Brooking, CMOM,CMIS
- Title
- Administrator
- Phone
- (940) 781-8837
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine | 173000000X | F6922 | TX | Primary |
Addresses
Primary practice location
1040 W Jefferson St
Brownsville, TX 78520-6338
Mailing address
5308 Pyrenees Dr
Wichita Falls, TX 76310-3949
Phone (940) 781-8837
Other names 1
- ETTA CAVIN RN
National Provider Directory
National Provider Directory- Part of
- Wichita Falls Infectious Disease Assoc PA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Wichita Falls, TX
- NPI 1124067897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1902094105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5308 PYRENEES DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763103949",
"telephone_number": "940-781-8837",
"fax_number": "940-692-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 W JEFFERSON ST",
"city": "BROWNSVILLE",
"state": "TX",
"postal_code": "785206338",
"telephone_number": "940-781-8837",
"fax_number": "940-692-4136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL PICC STAT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROBERT L. MCBROOM",
"enumeration_date": "2007-10-12",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "BROOKING",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "940-781-8837",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CMOM,CMIS"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Legal Medicine",
"state": "TX",
"license": "F6922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ETTA CAVIN RN",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Brownsville, TX
- El Milagro
- El Mundo Feliz Adult Day Care
- El Mundo Feliz Adult Day Care
- El Panciera Inc (Boca Chica Medical Supply)
- El Paraiso Adult Day Care, Inc.
- El Rosario Home Care Agency L.L.C
- Eldorado Texas Community Service Center (Brownsville Health Services)
- Eli Support Services
- Elisa Garza Inc (Hermans Optical)
- Carlos Alberto Elizondo, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.