Organization
MHMRA OF BRAZOS VALLEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL KELLY (EXECUTIVE DIRECTOR)
(979) 822-6467
Entity
Organization
Contact information
Practice address
804 S TEXAS AVE, BRYAN, TX 77803-3946
(979) 822-6467
(979) 821-9448
Mailing address
1504 TEXAS AVE., BRYAN, TX 77805-1504
(979) 822-6467
(979) 821-9448
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136366501
—
TX
05
—
136366502
—
TX
05
—
136366504
—
TX
05
—
136366505
—
TX
05
—
136366506
—
TX
05
—
136366507
—
TX
Enumeration date
06/28/2006
Last updated
03/26/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us