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Organization

ALLERGY ASSOCIATES OF BRAZOS VALLEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARRY R PAULL M.D. (CHIEF OF STAFF)
(979) 485-0571
Entity
Organization

Contact information

Practice address
3306 LONGMIRE DR, COLLEGE STATION, TX 77845-5812
(979) 485-0571
(979) 485-0575
Mailing address
3306 LONGMIRE DR, COLLEGE STATION, TX 77845-5812
(979) 485-0571
(979) 485-0575

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F2846
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085611401
TX
05
115516002
TX
Enumeration date
08/30/2005
Last updated
11/20/2009
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