Organization
BCS ALLERGY & ASTHMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANESH SHANMUGAM MD (PHYSICIAN)
(979) 703-6112
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE RD, STE 270, COLLEGE STATION, TX 77845-8306
(979) 703-6112
(979) 703-6649
Mailing address
1602 ROCK PRAIRIE RD, STE 270, COLLEGE STATION, TX 77845-8306
(979) 703-6112
(979) 703-6649
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
M6388
TX
Other
Enumeration date
02/11/2013
Last updated
10/02/2013
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