Dr. Jennifer Ann-Nicole Bhavsar, M.D.
Family Medicine in College Station, TX. Individual provider (NPI-1).
NPI number1457513103
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1457513103
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Ann-Nicole Bhavsar
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 25, 2008
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | P4422 | TX | Yes |
| 207Q00000X | Family Medicine | 31012 | SC |
Practice location
4421 State Highway 6 S Ste 100College Station, TX 77845-6176
Phone 979-690-4828 · Fax 979-690-4829
Mailing address
4421 State Highway 6 S Ste 100College Station, TX 77845-6176
Phone 979-690-4828 · Fax 979-690-4829
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