Organization
BRAZOS VALLEY PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY WIEBELHAUS (OFFICE MANAGER)
(713) 501-1600
Entity
Organization
Contact information
Practice address
1605 ROCK PRAIRIE RD STE 210, COLLEGE STATION, TX 77845-8358
(979) 977-2130
Mailing address
1605 ROCK PRAIRIE RD STE 210, COLLEGE STATION, TX 77845-8358
(979) 977-2130
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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