Organization
BRAZOS VALLEY POST ACUTE PHYSICIAN AND ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJU OOMMEN MD, CMD (OWNER)
(281) 389-0366
Entity
Organization
Contact information
Practice address
2626 S LOOP W STE 265, HOUSTON, TX 77054-5636
(713) 796-9955
Mailing address
2626 S LOOP W STE 265, HOUSTON, TX 77054-5636
(713) 796-9955
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/04/2023
Last updated
08/07/2023
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