Organization
BRYAN NEUROLOGY SERVICES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL RAY LIGHT M.D. (PRESIDENT)
(979) 693-1931
Entity
Organization
Contact information
Practice address
2100 BENT OAK ST, COLLEGE STATION, TX 77845-5585
(979) 693-1931
Mailing address
PO BOX 10102, COLLEGE STATION, TX 77842-0102
(979) 693-1931
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
07/10/2013
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