Gvsa Medical Professionals, Pllc

LBN: Gvsa Medical Professionals, Pllc
Gvsa Medical Professionals, Pllc is an health care organization with primary practice located at 2700 E 29Th St Suite 105, Bryan TX 77802-2531. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gvsa Medical Professionals, Pllc can be contacted via phone (979) 776-5631, or through Alford, Richard D via phone (979) 776-5631.

Contact Information

Primary practice address
2700 E 29Th St Suite 105 Bryan TX 77802-2531
Fax:
Website:
Authorized official contact:
Name: Alford, Richard D

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1982807699
LBN Legal business name Gvsa Medical Professionals, Pllc
DBA Doing business as
Authorized official Alford, Richard D
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2007
Last updated Aug 4th, 2014 - about 11 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 1982807699 NPPES
Texas MEDICAID 080961801

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