Organization
BRAZOS MATERNAL AND CHILD HEALTH CLINIC, INC.
Active
Other names
The Prenatal Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN CLARY YEAGER (EXECUTIVE DIRECTOR)
(979) 595-1783
Entity
Organization
Contact information
Practice address
3370 S TEXAS AVE, STE G, BRYAN, TX 77802-3127
(979) 595-1780
(979) 595-1777
Mailing address
3370 S TEXAS AVE, STE G, BRYAN, TX 77802-3127
(979) 595-1780
(979) 595-1777
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1272205-03
—
TX
05
—
1272205-04
—
TX
Enumeration date
01/19/2007
Last updated
02/24/2011
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