Organization · NPI-2

Central Texas Sports Medicine & Orthopaedics, P.A.

Orthopaedic Surgery · Bryan, TX

NPI number1861575466

StatusActive

Last updated in NPPESJul 27, 2020

Details

NPI: 1861575466
Entity type: Organization (NPI-2)
Legal business name: Central Texas Sports Medicine & Orthopaedics, P.A.
Organization subpart: No
Enumeration date: Oct 24, 2006
Certification date: Jul 27, 2020
Last updated: Jul 27, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207X00000X	Orthopaedic Surgery	–	–	Yes
207PS0010X	Emergency Medicine, Sports Medicine	–	–
207Q00000X	Family Medicine	–	–
2251S0007X	Physical Therapist, Sports	–	–

Practice location

3121 University Dr E Ste 100
Bryan, TX 77802-3499

Phone 979-776-0169 · Fax 979-776-1372

Mailing address

3121 University Dr E Ste 100
Bryan, TX 77802-3499

Phone 979-776-0169 · Fax 979-776-1372

Authorized official

Joe P Bramhall
President
9797760169

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