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Organization
FAMILY PRACTICE FOUNDATION OF THE BRAZOS VALLEY
Active
Organization
FAMILY PRACTICE FOUNDATION OF THE BRAZOS VALLEY
Active
Parent organization
FAMILY PRACTICE FOUNDATION OF THE BRAZOS VALLEY
Other names
Family Medicine Center & Brazos Family Medicine Residency
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY PRACTICE FOUNDATION OF THE BRAZOS VALLEY
Authorized official
DR. DAVID A MCCLELLAN M.D. (PROGRAM DIRECTOR)
(979) 862-4465
Entity
Organization
Contact information
Practice address
1301 MEMORIAL DRIVE, SUITE 200, BRYAN, TX 77802-5201
(979) 862-4465
(979) 774-6603
Mailing address
1301 MEMORIAL DRIVE, SUITE 200, BRYAN, TX 77802-5201
(979) 862-4465
(979) 774-6603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M2390
TX
Other
Enumeration date
08/09/2006
Last updated
08/05/2008
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