Organization
B-CS FAMILY MEDICINE CLINIC P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARIM I HAJI M.D. (MEDICAL DIRECTOR)
(979) 776-7513
Entity
Organization
Contact information
Practice address
2010 E VILLA MARIA RD, SUITE A, BRYAN, TX 77802-2540
(979) 776-7513
(979) 776-7515
Mailing address
2010 E VILLA MARIA RD, SUITE A, BRYAN, TX 77802-2540
(979) 776-7513
(979) 776-7515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2221
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081366901
—
TX
Enumeration date
07/21/2005
Last updated
06/19/2008
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