Brazos Valley Plastic Surgery Center LLC
NPI #1134593056 in College Station, Texas
Provider Information
- NPI Number
- 1134593056
- Entity Type
- Organization
- Organization Name
- Brazos Valley Plastic Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 16, 2015
- Last Updated
- Nov 16, 2015
Practice Location
- Address
- 2809 EARL RUDDER FWY S
- Address 2
- SUITE 101
- City
- College Station
- State
- Texas
- ZIP Code
- 77845-7382
- Phone
- (979) 776-8825
Authorized Official
- Name
- DR. MALCOLM RUDE, M.D.
- Title
- FACILITY DIRECTOR
- Phone
- (979) 776-8825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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