Organization
HOSPICE BRAZOS VALLEY, INC.
Active
Parent organization
HOSPICE BRAZOS VALLEY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOSPICE BRAZOS VALLEY
Authorized official
MR. CRAIG BORCHARDT PH.D. (PRESIDENT/CEO)
(979) 821-2266
Entity
Organization
Contact information
Practice address
502 W 26TH ST, BRYAN, TX 77803-2426
(979) 821-2266
Mailing address
502 W 26TH ST, BRYAN, TX 77803-2426
(979) 821-2266
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
2186
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037
—
TX
01
—
2186
DEPT. OF AGING
TX
Enumeration date
01/31/2014
Last updated
01/31/2014
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