# BRAZOS MEDICAL ASSOCIATES

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

## Provider details

- **NPI number:** 1790718419
- **Authorized official:** MRS. SUSAN M SADTLER (OFFICE MANAGER)
- **Authorized official phone:** (979) 764-4043

## Contact information

- **Practice address:** 1602 ROCK PRAIRIE RD, SUITE 3000, COLLEGE STATION, TX 77845-8306
- **Practice address phone:** (979) 764-4043
- **Practice address fax:** (979) 694-2175
- **Mailing address:** 1602 ROCK PRAIRIE RD, SUITE 3000, COLLEGE STATION, TX 77845-8306
- **Mailing address phone:** (979) 764-4043
- **Mailing address fax:** (979) 694-2175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G0919 | TX | — |
| 207Q00000X | Family Medicine Physician | L9919 | TX | — |
| 207V00000X | Obstetrics & Gynecology Physician | G1054 | TX | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | L3243 | TX | — |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 09/15/2008