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Organization

BRAZOS VALLEY PSYCHIATRY

Active
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Organization

BRAZOS VALLEY PSYCHIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CODY WIEBELHAUS (OFFICE MANAGER)
(713) 501-1600
Entity
Organization

Contact information

Practice address
1605 ROCK PRAIRIE RD STE 210, COLLEGE STATION, TX 77845-8358
(979) 977-2130
Mailing address
1605 ROCK PRAIRIE RD STE 210, COLLEGE STATION, TX 77845-8358
(979) 977-2130

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—

Other

Enumeration date
11/05/2019
Last updated
11/05/2019
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