El Dorado Texas Community Services Center

LBN: El Dorado Texas Community Services Center
El Dorado Texas Community Services Center is an health care organization with primary practice located at 954 E Madison St , Brownsville TX 78520-5950. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Methadone, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. El Dorado Texas Community Services Center can be contacted via phone (956) 550-9970, or through Sharma, Pramesh P via phone (661) 313-5503.

Contact Information

Primary practice address
954 E Madison St Brownsville TX 78520-5950
Phone: (956) 550-9970
Fax: (956) 982-4294
Website:
Map and Directions
Authorized official contact:
Name: Sharma, Pramesh P
Phone: (661) 313-5503

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Community Health 261QC1500X 00533W Texas
Ambulatory Health Care Facilities / Methadone 261QM2800X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1114077377
LBN Legal business name El Dorado Texas Community Services Center
DBA Doing business as
Authorized official Sharma, Pramesh P
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 30th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114077377 NPPES
Texas Other 1000057 STATE OTP LICENSE
Texas MEDICAID 175582901 STATE OTP LICENSE

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