Organization
BRENHAM CLINIC ASSN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIE SLATTERY RN (ADMINISTRATOR)
(979) 836-6153
Entity
Organization
Contact information
Practice address
600 NORTH PARK ST, BRENHAM, TX 77833-2610
(979) 836-6153
Mailing address
600 NORTH PARK ST, BRENHAM, TX 77833-2610
(979) 836-6153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
F4241
TX
208000000X
Pediatrics Physician
Primary
K6753
TX
Other
Enumeration date
08/19/2006
Last updated
10/27/2007
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