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Organization
BRAZOS VALLEY ER, LLC
Active
Organization
BRAZOS VALLEY ER, LLC
Active
Other names
Physicians PremiER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED SHAHAN MD (LLC MEMBER/MANAGER)
(361) 991-0912
Entity
Organization
Contact information
Practice address
2411 BOONVILLE RD, BRYAN, TX 77808-2231
(979) 775-0911
(512) 825-4625
Mailing address
PO BOX 61041, CORPUS CHRISTI, TX 78466-1041
(361) 884-2904
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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