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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, P.A.

NPI # 1568435774
LBN Legal business name BRAZOS RADIATION ONCOLOGY, P.A.
Authorized official ALVIN SCHLICHTEMEIER - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2006
Last updated 11/06/2012 - About 14 years ago
Identifiers
TX Medicaid 81701701
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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