Provider Demographics
NPI:1730193244
Name:BROWNSVILLE CHILDRENS CLINIC P.A.
Entity type:Organization
Organization Name:BROWNSVILLE CHILDRENS CLINIC P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-544-5557
Mailing Address - Street 1:4430 E 14TH ST
Mailing Address - Street 2:STE A
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3240
Mailing Address - Country:US
Mailing Address - Phone:956-544-5557
Mailing Address - Fax:956-544-5100
Practice Address - Street 1:4430 E 14TH ST
Practice Address - Street 2:STE A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3240
Practice Address - Country:US
Practice Address - Phone:956-544-5557
Practice Address - Fax:956-544-5100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1150208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8U8740OtherBCBS GROUP