Organization
BRAZOS VALLEY PLASTIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALCOLM RUDE M.D. (FACILITY DIRECTOR)
(979) 776-8825
Entity
Organization
Contact information
Practice address
2809 EARL RUDDER FWY S, SUITE 101, COLLEGE STATION, TX 77845-7382
(979) 776-8825
Mailing address
2809 EARL RUDDER FWY S, SUITE 101, COLLEGE STATION, TX 77845-7382
(979) 776-8825
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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