Bcs Abundant Life Family Practice
NPI #1689755266 in College Station, Texas
Provider Information
- NPI Number
- 1689755266
- Entity Type
- Organization
- Organization Name
- Bcs Abundant Life Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Jan 14, 2026
Practice Location
- Address
- 2911 TEXAS AVE S STE 202
- City
- College Station
- State
- Texas
- ZIP Code
- 77845-5388
- Phone
- (979) 695-3570
Authorized Official
- Name
- RUSSELL BRYAN BACAK, M.D.
- Title
- PRESIDENT
- Phone
- (979) 695-3570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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