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:
Map and Directions
Authorized official contact:
Name: Garrett, James Bryan DDS, MD
Phone: (979) 764-7101

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194931303 NPPES
Tennessee Other 813315 UNITED CONCORDIA

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