National Provider Identifier Database

BRAZOS MATERNAL AND CHILD HEALTH CLINIC INC
Voluntary or Charitable


Contact Information

BRAZOS MATERNAL AND CHILD HEALTH CLINIC, INC.
3370 S TEXAS AVE
STE G
BRYAN, TX77802-3127
Phone: 979-595-1780
Fax: 979-595-1777
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for BRAZOS MATERNAL AND CHILD HEALTH CLINIC, INC.

NPI Number 1487707923
Legal business name
LBN
BRAZOS MATERNAL AND CHILD HEALTH CLINIC, INC.
Authorized official LYNN YEAGER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/19/2007
Last updated 02/24/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • TX Medicaid: 1272205-03
  • TX Medicaid: 1272205-04

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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