Family Practice Foundation of the Brazos Valley

NPI #1578573531 in Bryan, Texas

Provider Information

NPI Number: 1578573531
Entity Type: Organization
Organization Name: Family Practice Foundation of the Brazos Valley
Subpart: Yes (part of a larger organization)
Parent Organization: FAMILY PRACTICE FOUNDATION OF THE BRAZOS VALLEY
Primary Specialty: Family Medicine
Enumeration Date: Aug 9, 2006
Last Updated: Aug 5, 2008

Practice Location

Address: 1301 MEMORIAL DRIVE
Address 2: SUITE 200
City: Bryan
State: Texas
ZIP Code: 77802-5201
Phone: (979) 862-4465

Authorized Official

Name: DR. DAVID A MCCLELLAN, M.D.
Title: PROGRAM DIRECTOR
Phone: (979) 862-4465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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