Organization
BRAZOS ANESTHESIOLOGY ASSOCIATES
Active
Other names
ANESTHESIOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
KENNI BULGER (BUSINESS MANAGER)
(979) 776-4777
Entity
Organization
Contact information
Practice address
1737 BRIARCREST DR, SUITE 14, BRYAN, TX 77802-2769
(979) 776-4777
(979) 776-0588
Mailing address
1737 BRIARCREST DR, SUITE 14, BRYAN, TX 77802-2769
(979) 776-4777
(979) 776-0588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006912201
—
TX
Enumeration date
07/08/2008
Last updated
07/08/2008
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