Brazos Valley Oral & Maxillofacial Surgery
LBN: Brazos Valley Oms Pllc
Brazos Valley Oral & Maxillofacial Surgery is an health care organization with primary practice located at 1505 Emerald Plaza , College Station TX 77845-1501. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty.
Brazos Valley Oms Pllc can be contacted via phone (979) 764-7101, or through Garrett, James Bryan via phone (979) 764-7101.
Contact Information
Primary practice address
1505 Emerald Plaza
College Station TX 77845-1501
Phone: (979) 764-7101
Fax: (979) 764-7115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 10404 | Texas |
| Dental Providers / Periodontics | 1223P0300X | 10460 | Texas |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 10404 | Texas |
Profile Details
| NPI number | 1194931303 |
|---|---|
| LBN Legal business name | Brazos Valley Oms Pllc |
| DBA Doing business as | Brazos Valley Oral & Maxillofacial Surgery |
| Authorized official | Garrett, James Bryan DDS, MD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jan 2nd, 2020 - about 4 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 | 1194931303 | NPPES |
| Tennessee | Other | 813315 | UNITED CONCORDIA |
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