| Bcs Abundant Life Family Practice | |
|
2803 Earl Rudder Freeway South Suite 201 College Station TX 77845 | |
| (979) 695-3570 | |
| (979) 695-3573 |
| Full Name | Bcs Abundant Life Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2803 Earl Rudder Freeway South, College Station, Texas |
| Authorized Official Name and Position | Russell Bryan Bacak (PRESIDENT) |
| Authorized Official Contact | 9796953570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcs Abundant Life Family Practice 2803 Earl Rudder Freeway South Suite 201 College Station TX 77845 Ph: (979) 695-3570 | Bcs Abundant Life Family Practice 2803 Earl Rudder Freeway South Suite 201 College Station TX 77845 Ph: (979) 695-3570 |
| NPI Number | 1689755266 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 01/14/2010 |
| Medicare PECOS PAC ID | 8123006772 |
|---|---|
| Medicare Enrollment ID | O20040709001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689755266 | NPI | - | NPPES |
| DB9563 | Other | TX | MEDICARE RAILROAD |
| 165201801 | Medicaid | TX | |
| 0061LC | Other | TX | BLUE CROSS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K5445 (Texas) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Russell B Bacak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184705741 PECOS PAC ID: 7012995665 Enrollment ID: I20040713000021 |
| Provider Name | Christine G Pinones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720538242 PECOS PAC ID: 4385923200 Enrollment ID: I20171220002918 |
| Provider Name | Hope Elizabeth Odom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609411263 PECOS PAC ID: 8426481573 Enrollment ID: I20191204001662 |
Doc Healthcare, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18395 Anasazi Bluff Dr, College Station, TX 77845 Phone: 979-571-1967 Fax: 979-256-0869 | |
Independent Provider Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4607 Colonial Cir, College Station, TX 77845 Phone: 979-574-5050 | |
Symetria Health Of Texas, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1651 Rock Prairie Rd Ste 101, College Station, TX 77845 Phone: 979-599-9580 | |
Regional Employee Assistance Program Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1602 Rock Prairie Rd, Ste 460, College Station, TX 77845 Phone: 979-696-0267 Fax: 979-694-4703 | |
Integrative Medical Care Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Earl Rudder Fwy S Ste 2100, College Station, TX 77845 Phone: 979-221-2610 | |
Texas Endocrinology Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1721 Birmingham Dr Ste 200, College Station, TX 77845 Phone: 979-977-7012 Fax: 979-977-7013 | |
Medical Care Innovation, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Quality Circle, College Station, TX 77845 Phone: 979-268-8237 |