Brazos Medical Associates
Obstetrics & Gynecology in College Station, TX. Organization (NPI-2).
NPI number1790718419
StatusActive
Last updated in NPPESSep 15, 2008
Details
- NPI
- 1790718419
- Entity type
- Organization (NPI-2)
- Legal business name
- Brazos Medical Associates
- Organization subpart
- No
- Enumeration date
- Jul 8, 2006
- Last updated
- Sep 15, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | G1054 | TX | Yes |
| 207Q00000X | Family Medicine | L9919 | TX | |
| 207Q00000X | Family Medicine | G0919 | TX | |
| 207V00000X | Obstetrics & Gynecology | L3243 | TX |
Practice location
1602 Rock Prairie RdSuite 3000
College Station, TX 77845-8306
Phone 979-764-4043 · Fax 979-694-2175
Mailing address
1602 Rock Prairie RdSuite 3000
College Station, TX 77845-8306
Phone 979-764-4043 · Fax 979-694-2175
Authorized official
Susan M Sadtler
Office Manager
9797644043
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