Brenham Clinic Assn

NPI #1528172012 in Brenham, Texas

Provider Information

NPI Number: 1528172012
Entity Type: Organization
Organization Name: Brenham Clinic Assn
Primary Specialty: Pediatrics
Enumeration Date: Aug 19, 2006
Last Updated: Oct 27, 2007

Practice Location

Address: 600 NORTH PARK ST
City: Brenham
State: Texas
ZIP Code: 77833-2610
Phone: (979) 836-6153

Authorized Official

Name: GRACIE SLATTERY, RN
Title: ADMINISTRATOR
Phone: (979) 836-6153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X	Primary

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