Organization · NPI-2
Caprock Physicians
Emergency Medicine · Bryan, TX
NPI number1922409101
StatusActive
Last updated in NPPESSep 4, 2020
Details
- NPI
- 1922409101
- Entity type
- Organization (NPI-2)
- Legal business name
- Caprock Physicians
- Organization subpart
- No
- Enumeration date
- Sep 8, 2014
- Certification date
- Sep 4, 2020
- Last updated
- Sep 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
| 261QE0002X | Clinic/Center, Emergency Care | – | – |
Practice location
3134 Briarcrest DrBryan, TX 77802-3014
Phone 979-314-2323 · Fax 979-314-2360
Mailing address
4711 Westminster DrBryan, TX 77802-5912
Phone 979-820-0028 · Fax 979-314-2360
Other practice locations
948 William D Fitch Pkwy
College Station, TX 77845-6452
College Station, TX 77845-6452
Phone 979-314-2323 · Fax 979-314-2360
Authorized official
Lon Young
President
9793142323
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