Organization
BRAZOS COUNTY
Active
Other names
Brazos County
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANTOS NAVARRETTE JR. (DIRECTOR)
(979) 361-4440
Entity
Organization
Contact information
Practice address
201 N TEXAS AVE, BRYAN, TX 77803-5317
(979) 361-4440
(979) 823-2275
Mailing address
201 N TEXAS AVE, BRYAN, TX 77803-5317
(979) 361-4440
(979) 823-2275
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0005X
Ambulatory Family Planning Facility
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
261QP0905X
TX
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144352881
—
TX
05
—
1309825-04
—
TX
01
—
209166235
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/09/2007
Last updated
02/11/2026
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