Dr Stephen Wesley Line, DO | |
3121 University Dr E Ste 100, Bryan, TX 77802-3499 | |
(979) 776-0169 | |
Not Available |
Full Name | Dr Stephen Wesley Line |
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Gender | Male |
Speciality | Family Medicine |
Location | 3121 University Dr E Ste 100, Bryan, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306342431 | NPI | - | NPPES |
2J5586 | Other | TX | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | S6243 (Texas) | Primary |
207Q00000X | Family Medicine | BP10063117 (Texas) | Secondary |
Entity Name | Texas A&m University System Health Science Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063699312 PECOS PAC ID: 8224008644 Enrollment ID: O20040802001578 |
Entity Name | Brazos Valley Physicians Alliance |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326495508 PECOS PAC ID: 1052604006 Enrollment ID: O20160728000249 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Wesley Line, DO 8441 State Hwy 47, Ste 3115, Bryan, TX 77807 Ph: (979) 436-9703 | Dr Stephen Wesley Line, DO 3121 University Dr E Ste 100, Bryan, TX 77802-3499 Ph: (979) 776-0169 |
Karla Acosta-monroe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2612 W Villa Maria Rd, Bryan, TX 77807 Phone: 979-207-3636 Fax: 979-207-6021 | |
Dr. Van Thi Ngo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 748 N Earl Rudder Fwy, Bryan, TX 77802 Phone: 979-207-2900 | |
Dr. Robert B Hash, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1301 Memorial Dr, Bryan, TX 77802 Phone: 979-776-8440 | |
Ricardo Garcia Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3121 University Dr E Ste 100, Bryan, TX 77802 Phone: 979-776-0169 Fax: 979-776-1372 | |
Mr. Timothy Dale Ashley Jr., M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 2900 E 29th St, Suite 100, Bryan, TX 77802 Phone: 979-436-0485 | |
Dr. Puifun Lila Pappas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2410 Boonville Rd, Bryan, TX 77808 Phone: 979-690-4808 Fax: 979-690-4809 | |
Nikki L Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2900 E 29th St Ste 100, Bryan, TX 77802 Phone: 979-436-0485 |