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Organization

BRAZOS VALLEY HOSPITAL, LLC

Active
Parent organization
BRAZOS VALLEY HOSPITAL, LLC
Other names
CapRock 24 Hour Emergency
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRAZOS VALLEY HOSPITAL, LLC
Authorized official
JON ANTHONY VENUTI (DIRECTOR OF OPERATIONS)
(352) 284-1678
Entity
Organization

Contact information

Practice address
948 WILLIAM D FITCH, COLLEGE STATION, TX 77845
(979) 314-2323
(979) 314-2360
Mailing address
948 WILLIAM D FITCH, COLLEGE STATION, TX 77845
(979) 314-2323
(979) 314-2360

Taxonomy

Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160141
DEPARTMENT OF STATE HEALTH SERVICES
TX
Enumeration date
09/11/2014
Last updated
04/17/2020
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