Organization
BRAZOS VALLEY PHYSICIANS ALLIANCE
Active
Other names
Central Texas Sports Medicine & Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E STE 320, BRYAN, TX 77802-3478
(979) 731-3930
Mailing address
3201 UNIVERSITY DR E STE 320, BRYAN, TX 77802-3478
(979) 731-3930
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/18/2016
Last updated
09/21/2021
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