Organization
BRAZOS UROLOGY CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER T BUCHANAN M.D. (OWNER)
(817) 573-3272
Entity
Organization
Contact information
Practice address
1209 MEDICAL PLAZA CT, GRANBURY, TX 76048-5684
(817) 573-3272
(817) 573-4626
Mailing address
1209 MEDICAL PLAZA CT, GRANBURY, TX 76048-5684
(817) 573-3272
(817) 573-4626
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
L7993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166393201
—
TX
Enumeration date
08/10/2005
Last updated
02/15/2012
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