# BRAZOS UROLOGY CLINIC P A

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

## Provider details

- **NPI number:** 1679574750
- **Authorized official:** DR. CHRISTOPHER T BUCHANAN M.D. (OWNER)
- **Authorized official phone:** (817) 573-3272

## Contact information

- **Practice address:** 1209 MEDICAL PLAZA CT, GRANBURY, TX 76048-5684
- **Practice address phone:** (817) 573-3272
- **Practice address fax:** (817) 573-4626
- **Mailing address:** 1209 MEDICAL PLAZA CT, GRANBURY, TX 76048-5684
- **Mailing address phone:** (817) 573-3272
- **Mailing address fax:** (817) 573-4626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | L7993 | TX | Yes |

## Other

- **Enumeration date:** 08/10/2005
- **Last updated:** 02/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 166393201 | — | TX |