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Contact Information

BRAZOS RADIATION ONCOLOGY, P.A.
2215 E VILLA MARIA RD
SUITE 130
BRYAN, TX77802-2548
 Phone: 979-774-0808
 Fax: 979-776-3028
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for BRAZOS RADIATION ONCOLOGY PA · (Female)

NPI # 1568435774
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2006
Last updated 11/06/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 81701701
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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