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Contact Information

PSYCHOLOGICAL CONSULTANTS OF THE BRAZOS VALLEY PA
2400 BROADMOOR DR
STE C
BRYAN, TX77802
 Phone: 979-774-9255
 Fax: 979-774-9299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL CONSULTANTS OF THE BRAZOS VALLEY PA

NPI # 1306819511
LBN Legal business name PSYCHOLOGICAL CONSULTANTS OF THE BRAZOS VALLEY PA
Authorized official BRADLEY POWELL - (DIIRECTOR OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # 32062
TX Other 0064LM BLUE CROSS
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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