# BROWNSVILLE MEDICAL CLINIC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659447696
- **Authorized official:** CLAUDIA WHITE (ADMINISTRATOR)
- **Authorized official phone:** (731) 772-4199

## Contact information

- **Practice address:** 2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
- **Practice address phone:** (731) 772-4199
- **Practice address fax:** (731) 772-7703
- **Mailing address:** 2565 N WASHINGTON AVE, BROWNSVILLE, TN 38012-1610
- **Mailing address phone:** (731) 772-4199
- **Mailing address fax:** (731) 772-7703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD8895 | TN | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 07/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3156270 | — | TN |
| 05 | — | 3156276 | — | TN |
| 05 | — | 3156277 | — | TN |
| 05 | — | 3386790 | — | TN |