Organization
ST. JOSEPH REGIONAL HEALTH CENTER
Active
Other names
St. Joseph Family Medicine 29th
Organization subpart
No
Provider details
NPI number
Authorized official
SAM FULTON (DIRECTOR REVENUE CYCLE)
(979) 774-2079
Entity
Organization
Contact information
Practice address
2210 E 29TH ST, BRYAN, TX 77802-1903
(979) 821-6300
Mailing address
2210 E 29TH ST, BRYAN, TX 77802-1903
(979) 821-6300
(979) 823-4545
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081951801
—
TX
Enumeration date
05/08/2013
Last updated
03/13/2025
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