Gvsa Medical Professionals, PLLC
Specialist in Bryan, TX. Organization (NPI-2).
NPI number1982807699
StatusActive
Last updated in NPPESAug 4, 2014
Details
- NPI
- 1982807699
- Entity type
- Organization (NPI-2)
- Legal business name
- Gvsa Medical Professionals, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 8, 2007
- Last updated
- Aug 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
2700 E 29th StSuite 105
Bryan, TX 77802-2531
Phone 979-776-5631
Mailing address
2700 E 29th StSuite 105
Bryan, TX 77802-2531
Phone 979-776-5631
Authorized official
Richard D Alford
Physician And President
9797765631
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