Brenham Clinic Association PA

NPI #1619081106 in Bellville, Texas

Provider Information

NPI Number: 1619081106
Entity Type: Organization
Organization Name: Brenham Clinic Association PA
Primary Specialty: Family Medicine
Enumeration Date: Aug 19, 2006
Last Updated: Dec 11, 2009

Practice Location

Address: 235 WEST PALM
Address 2: STE 106
City: Bellville
State: Texas
ZIP Code: 77418-1372
Phone: (979) 836-6153

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Internal Medicine	207R00000X
Obstetrics & Gynecology	207V00000X
Pediatrics	208000000X

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