Organization
BRAZOS VALLEY PHYSICIANS ORGANIZATION,MSO-LLC
Active
Other names
The Physicians Pain and Spine Centre
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E STE 470, BRYAN, TX 77802-3487
(979) 731-3906
(979) 774-1253
Mailing address
3131 UNIVERSITY DR E, BRYAN, TX 77802-3473
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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