National Provider Identifier Database

FEDERAL PRISON CAMP
Prison Health


Contact Information

FEDERAL PRISON CAMP
1100 URSULINE AVE
BRYAN, TX77803-4951
Phone: 979-823-1879
Fax: 979-821-3315
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for FEDERAL PRISON CAMP

NPI Number 1992061188
Legal business name
LBN
FEDERAL PRISON CAMP
Authorized official KATHLEEN RIVERS - (HEALTH SERVICES ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 04/02/2012
Last updated 04/02/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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