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Organization

ST. JOSEPH REGIONAL HEALTH CENTER

Active
Other names
St. Joseph Family Medicine Holleman
Organization subpart
No

Provider details

NPI number
Authorized official
SAM FULTON (DIRECTOR REVENUE CYCLE)
(979) 774-2079
Entity
Organization

Contact information

Practice address
1512 HOLLEMAN DR, COLLEGE STATION, TX 77840-3297
(979) 764-6885
Mailing address
2800 S TEXAS AVE STE 202, BRYAN, TX 77802-5361
(979) 690-4828
(979) 690-4829

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
081951801
TX
Enumeration date
05/07/2013
Last updated
03/13/2025
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