Organization
BRYAN COLLEGE STATION ASC, LP
Active
Other names
The Heart and Vascular Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARIE BEMIS (AUTHORIZED OFFICIAL)
(858) 722-2358
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E STE 430, BRYAN, TX 77802-3486
(979) 485-9922
(979) 485-9923
Mailing address
DEPT# 6020, PO BOX 4417, HOUSTON, TX 77210-4417
(610) 644-8900
(484) 924-0053
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
354359701
—
TX
Enumeration date
11/14/2014
Last updated
11/09/2023
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