Organization
BRAZOS VALLEY COLORECTAL SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CANNON LEWIS MD (PHYSICIAN)
(979) 315-8121
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E, BRYAN, TX 77802-3475
(979) 315-8121
(855) 592-2801
Mailing address
6601 FM 594 RD, BURTON, TX 77835-5777
(210) 305-9058
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
02/25/2024
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