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 Podiatric Medicine & Surgery Service Providers / Podiatrist, Suppliers / Durable Medical Equipment & Medical Supplies. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty.
Brazos Valley Foot Care Pa can be contacted via phone (979) 776-6060, or through Garza, Gina Louise via phone (979) 776-6060.
Contact Information
Primary practice address
3312 Longmire Dr
College Station TX 77845-5812
Phone: (979) 776-6060
Fax: (979) 776-6172
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | ||
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X |
Profile Details
| NPI number | 1194839563 |
|---|---|
| LBN Legal business name | Brazos Valley Foot Care Pa |
| DBA Doing business as | |
| Authorized official | Garza, Gina Louise |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jan 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194839563 | NPPES |
| Texas | Other | 00613K | BLUECROSSBLUESHIELD |
| Texas | MEDICAID | 080873501 | BLUECROSSBLUESHIELD |
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