Organization
COLLEGE STATION RHC COMPANY LLC
Active
Parent organization
COLLEGE STATION RHC COMPANY LLC
Other names
BRENHAM CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLLEGE STATION RHC COMPANY LLC
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7626
Entity
Organization
Contact information
Practice address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 830-0513
(979) 277-9074
Mailing address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 830-0513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2085B0100X
Body Imaging Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209300701
—
TX
05
—
209300702
—
TX
Enumeration date
11/09/2009
Last updated
06/02/2010
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