| Brazos Family Practice, Pllc | |
|
235 W Palm St Ste 102 Bellville TX 77418-1300 | |
| (979) 865-8484 | |
| Not Available |
| Full Name | Brazos Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 235 W Palm St Ste 102, Bellville, Texas |
| Authorized Official Name and Position | David Magness (OWNER) |
| Authorized Official Contact | 8324439668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazos Family Practice, Pllc 235 W Palm St Ste 102 Bellville TX 77418-1300 Ph: (979) 865-8484 | Brazos Family Practice, Pllc 235 W Palm St Ste 102 Bellville TX 77418-1300 Ph: (979) 865-8484 |
| NPI Number | 1780380089 |
|---|---|
| Provider Enumeration Date | 02/07/2023 |
| Last Update Date | 02/07/2023 |
| Medicare PECOS PAC ID | 0648644096 |
|---|---|
| Medicare Enrollment ID | O20230325000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780380089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | David Matthew Magness |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760004105 PECOS PAC ID: 2466873286 Enrollment ID: I20230325000175 |
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