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Contact Information

BRAZOS VALLEY FOOT CARE PA
3312 LONGMIRE DR
COLLEGE STATION, TX77845-5812
 Phone: 979-776-6060
 Fax: 979-776-6172
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BRAZOS VALLEY FOOT CARE PA

NPI Number 1194839563
LBN Legal business name BRAZOS VALLEY FOOT CARE PA
Authorized official GINA GARZA - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2006
Last updated 01/17/2019 - About 7 years ago
Identifiers
TX Medicaid 080873501
TX Other 00613K BLUECROSSBLUESHIELD
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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