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Organization
BRAZOS VALLEY PLASTIC SURGERY CENTER
Active
Organization
BRAZOS VALLEY PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM RUDE MD (OWNER/PHYSICIAN)
(979) 776-8825
Entity
Organization
Contact information
Practice address
2809 EARL RUDDER FWY S, SUITE 101, COLLEGE STATION, TX 77845-6080
(979) 776-8825
(979) 776-2655
Mailing address
2809 EARL RUDDER FWY S, SUITE 101, COLLEGE STATION, TX 77845-6080
(979) 776-8825
(979) 776-2655
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
K9893
TX
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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