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Brenham Clinic Association PA

Internal Medicine in Bellville, TX. Organization (NPI-2).

NPI number1619081106
StatusActive
Last updated in NPPESDec 11, 2009

Details

NPI
1619081106
Entity type
Organization (NPI-2)
Legal business name
Brenham Clinic Association PA
Organization subpart
No
Enumeration date
Aug 19, 2006
Last updated
Dec 11, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineF4241TXYes
207Q00000X Family MedicineG5283TX
207R00000X Internal MedicineE8650TX
207R00000X Internal MedicineM8802TX
207V00000X Obstetrics & GynecologyH0692TX
207V00000X Obstetrics & GynecologyM4810TX
208000000X PediatricsF3730TX
208000000X Pediatricsk6753TX
208000000X PediatricsE2546TX
208000000X PediatricsN1685TX

Practice location

235 West Palm
Ste 106
Bellville, TX 77418-1372

Phone 979-836-6153

Mailing address

600 North Park
Brenham, TX 77833-2610

Phone 979-836-6153

Authorized official

Gracie Slattery
Administrator
9798366153

Is something wrong?

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