Organization
BRAZOS VASCULAR ACCESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL ANEKWE MD (PRESIDENT/OWNER)
(210) 616-9990
Entity
Organization
Contact information
Practice address
1673 BRIARCREST DR, STE 100B, BRYAN, TX 77802-2737
(210) 616-9990
(210) 298-9416
Mailing address
PO BOX 29364, SAN ANTONIO, TX 78229-0364
(210) 616-9990
(210) 298-9416
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117880805
—
TX
05
—
201307003
—
TX
Enumeration date
09/27/2012
Last updated
09/27/2012
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