Organization
BCS EYE ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISHNA PRAHALAD SHANMUGAM MD (PHYSICIAN)
(979) 255-3738
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E, BRYAN, TX 77802-3475
(979) 255-3738
Mailing address
1105 ELGIN DR, COLUMBIA, MO 65203-6221
(979) 255-3738
Taxonomy
Speciality
Code
Description
License number
State
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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