Bryan Gastropath, LLC

NPI #1225360605 in Bryan, Texas

Provider Information

NPI Number
1225360605
Entity Type
Organization
Organization Name
Bryan Gastropath, LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Feb 9, 2010
Last Updated
Feb 9, 2010

Practice Location

Address
2206 E VILLA MARIA RD
City
Bryan
State
Texas
ZIP Code
77802-2547
Phone
(979) 776-4600

Authorized Official

Name
CHARLES HENRY MOORE, M.D.
Title
MANAGING PARTNER
Phone
(979) 776-4600

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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