Brazos Wound Associates, PA

NPI #1578788519 in College Station, Texas

Provider Information

NPI Number: 1578788519
Entity Type: Organization
Organization Name: Brazos Wound Associates, PA
Primary Specialty: Surgery
Enumeration Date: Apr 16, 2007
Last Updated: Apr 30, 2015

Practice Location

Address: 1605 ROCK PRAIRIE RD
Address 2: SUITE 102
City: College Station
State: Texas
ZIP Code: 77845-8358
Phone: (979) 764-4325

Authorized Official

Name: HUGH M TADLOCK, MD
Title: OWNER
Phone: (512) 508-1809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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