Organization
BRAZOS SPINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUKUND GUNDANNA MD (PRESIDENT)
(979) 693-1815
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE ROAD, SUITE 2400, COLLEGE STATION, TX 77845
(979) 693-1815
(979) 693-4706
Mailing address
1602 ROCK PRAIRIE ROAD, SUITE 2400, COLLEGE STATION, TX 77845
(979) 693-1815
(979) 693-4706
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L8709
TX
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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