Organization
BRYAN COLLEGE STATION PROSTHETICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD GENE NELSON (PRESIDENT)
(281) 731-0537
Entity
Organization
Contact information
Practice address
1602 ROCK PRAIRIE RD, SUITE 150, COLLEGE STATION, TX 77845-8306
(979) 696-8300
(979) 696-8328
Mailing address
1602 ROCK PRAIRIE RD, SUITE 150, COLLEGE STATION, TX 77845-8306
(979) 696-8300
(979) 696-8328
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
101411
TX
Other
Enumeration date
06/06/2012
Last updated
06/28/2012
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