# BRYAN KIDNEY CENTER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326289927
- **Authorized official:** DR. ASAD KHAN M.D. (PHYSICIAN)
- **Authorized official phone:** (979) 412-2623

## Contact information

- **Practice address:** 2110 E VILLA MARIA RD, BRYAN, TX 77802-2542
- **Practice address phone:** (979) 412-2623
- **Practice address fax:** (979) 822-3333
- **Mailing address:** PO BOX 11056, COLLEGE STATION, TX 77842-1056
- **Mailing address phone:** (979) 822-5555
- **Mailing address fax:** (979) 822-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | N2142 | TX | Yes |

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 06/28/2017
