Organization
BRAZOS VALLEY PHYSICIANS ORGANIZATION,MSO-LLC
Active
Other names
THE PHYSICIANS PAIN AND SPINE CENTRE, The Physicians Centre
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
3131 UNIVERSITY DR E, BRYAN, TX 77802-3473
(979) 731-3250
(979) 731-3957
Mailing address
3131 UNIVERSITY DR E, BRYAN, TX 77802-3473
(979) 731-3250
(979) 731-3957
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
007175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09422600
—
TX
05
—
094226001
—
TX
Enumeration date
07/22/2006
Last updated
04/12/2024
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