Organization · NPI-2

St Joseph Physician Associates

Neurological Surgery · Bryan, TX

NPI number1851405039

StatusActive

Last updated in NPPESJan 5, 2012

Details

NPI: 1851405039
Entity type: Organization (NPI-2)
Legal business name: St Joseph Physician Associates
Organization subpart: No
Enumeration date: Aug 18, 2006
Last updated: Jan 5, 2012

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207T00000X	Neurological Surgery	–	–	Yes
207X00000X	Orthopaedic Surgery	–	–
207Q00000X	Family Medicine	–	–
208000000X	Pediatrics	–	–
208600000X	Surgery	–	–
363L00000X	Nurse Practitioner	–	–
363A00000X	Physician Assistant	–	–
2084N0400X	Psychiatry & Neurology, Neurology	–	–
208800000X	Urology	–	–
207V00000X	Obstetrics & Gynecology	–	–
207RE0101X	Internal Medicine, Endocrinology, Diabetes & Metabolism	–	–
207Y00000X	Otolaryngology	–	–

Practice location

2601 Osler Blvd
Bryan, TX 77802-2516

Phone 979-776-5960 · Fax 979-776-2129

Mailing address

2601 Osler Blvd
Bryan, TX 77802-2516

Phone 979-776-5960 · Fax 979-776-2129

Authorized official

Jonathan Alexander Friedman
Physician
9797768896

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