Bcs Abundant Life Family Practice
Family Medicine in College Station, TX. Organization (NPI-2).
NPI number1689755266
StatusActive
Last updated in NPPESJan 14, 2026
Details
- NPI
- 1689755266
- Entity type
- Organization (NPI-2)
- Legal business name
- Bcs Abundant Life Family Practice
- Organization subpart
- No
- Enumeration date
- Oct 18, 2006
- Certification date
- Jan 14, 2026
- Last updated
- Jan 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 207Q00000X | Family Medicine | K5445 | TX |
Practice location
2911 Texas Ave S Ste 202College Station, TX 77845-5388
Phone 979-695-3570
Mailing address
2911 Texas Ave S Ste 202College Station, TX 77845-5388
Phone 979-695-3570
Authorized official
Russell Bryan Bacak
President
9796953570
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