Organization
GVSA MEDICAL PROFESSIONALS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD D ALFORD (PHYSICIAN AND PRESIDENT)
(979) 776-5631
Entity
Organization
Contact information
Practice address
2700 E 29TH ST, SUITE 105, BRYAN, TX 77802-2531
(979) 776-5631
Mailing address
2700 E 29TH ST, SUITE 105, BRYAN, TX 77802-2531
(979) 776-5631
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080961801
—
TX
Enumeration date
06/08/2007
Last updated
08/04/2014
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