Family Medicine Center & Brazos Family Medicine Residency
LBN: Family Practice Foundation Of The Brazos Valley
Family Medicine Center & Brazos Family Medicine Residency is an health care organization with primary practice located at 1301 Memorial Drive Suite 200, Bryan TX 77802-5201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Family Practice Foundation Of The Brazos Valley can be contacted via phone (979) 862-4465, or through Mcclellan, David A via phone (979) 862-4465.
Contact Information
Primary practice address
1301 Memorial Drive Suite 200
Bryan TX 77802-5201
Phone: (979) 862-4465
Fax: (979) 774-6603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M2390 | Texas |
Profile Details
| NPI number | 1578573531 |
|---|---|
| LBN Legal business name | Family Practice Foundation Of The Brazos Valley |
| DBA Doing business as | Family Medicine Center & Brazos Family Medicine Residency |
| Authorized official | Mcclellan, David A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Aug 5th, 2008 - about 17 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 | 1578573531 | NPPES |
| Texas | MEDICAID | 111967901 |
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