Organization · NPI-2

Orthopaedic Associates Of Brazos Valley PLLC

Orthopaedic Surgery · Bryan, TX

NPI number1851742779
StatusActive
Last updated in NPPESDec 21, 2016

Details

NPI
1851742779
Entity type
Organization (NPI-2)
Legal business name
Orthopaedic Associates Of Brazos Valley PLLC
Organization subpart
No
Enumeration date
Jun 22, 2016
Last updated
Dec 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery––Yes

Practice location

3201 University Dr E Ste 175
Bryan, TX 77802-3480

Phone 979-704-6420 · Fax 979-704-6592

Mailing address

3201 University Dr E Ste 175
Bryan, TX 77802-3480

Phone 979-704-6420

Authorized official

Wade Whitmer
Physician
9797046420

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