Organization
BRAZOS LUNG ASSOCIATION, L.L.P.
Active
Organization
BRAZOS LUNG ASSOCIATION, L.L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH LYNN COLE (BILLING)
(979) 774-0012
Entity
Organization
Contact information
Practice address
2700 E 29TH ST STE 260, BRYAN, TX 77802
(979) 774-0012
(979) 774-4636
Mailing address
2700 E 29TH ST STE 260, BRYAN, TX 77802-2596
(979) 774-0012
(979) 774-4636
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
TX
207RP1001X
Pulmonary Disease Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083812001
—
TX
Enumeration date
04/20/2007
Last updated
05/29/2019
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