Brazos Valley Foot Care Pa

LBN: Brazos Valley Foot Care Pa
Brazos Valley Foot Care Pa is an health care organization with primary practice located at 3312 Longmire Dr , College Station TX 77845-5812. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Brazos Valley Foot Care Pa can be contacted via phone (979) 776-6060, or through Parker, Gina L via phone (979) 776-6060.

Contact Information

Primary practice address
3312 Longmire Dr College Station TX 77845-5812
Fax: (979) 776-6172
Website:
Authorized official contact:
Name: Parker, Gina L

Health care specialties

Profile Details

NPI number 1194280370
LBN Legal business name Brazos Valley Foot Care Pa
DBA Doing business as
Authorized official Parker, Gina L
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2019
Last updated Feb 1st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194280370 NPPES
Texas MEDICAID 080873501

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