Brazos Family Practice Associates
Family Medicine in Bryan, TX. Organization (NPI-2).
NPI number1386772010
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1386772010
- Entity type
- Organization (NPI-2)
- Legal business name
- Brazos Family Practice Associates
- Organization subpart
- No
- Enumeration date
- Mar 2, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2210 E 29th StBryan, TX 77802-1903
Phone 979-821-6300 · Fax 979-823-4545
Mailing address
2210 E 29th StBryan, TX 77802-1903
Phone 979-821-6300 · Fax 979-823-4545
Authorized official
Sandra Hovorak
Practice Manager
9798216300
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