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Organization
INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC
Active
Organization
INTERVENTIONAL SPINE AND PAIN ASSOCIATES BRAZOS VALLEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WHITMER DO (PRESIDENT)
(903) 987-4909
Entity
Organization
Contact information
Practice address
3106 TEXAS AVE S, COLLEGE STATION, TX 77845-5050
(979) 985-5489
(979) 985-5489
Mailing address
3106 TEXAS AVE S, COLLEGE STATION, TX 77845-5050
(979) 985-5489
(979) 985-5489
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
05/06/2022
Last updated
08/17/2022
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