| Brenham Clinic Assn | |
|
600 North Park St Brenham TX 77833-2610 | |
| (979) 836-6153 | |
| Not Available |
| Full Name | Brenham Clinic Assn |
|---|---|
| Speciality | Pediatrics |
| Location | 600 North Park St, Brenham, Texas |
| Authorized Official Name and Position | Gracie Slattery (ADMINISTRATOR) |
| Authorized Official Contact | 9798366153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brenham Clinic Assn 600 North Park St Brenham TX 77833-2610 Ph: (979) 836-6153 | Brenham Clinic Assn 600 North Park St Brenham TX 77833-2610 Ph: (979) 836-6153 |
| NPI Number | 1528172012 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 10/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528172012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | F4241 (Texas) | Secondary |
| 208000000X | Pediatrics | K6753 (Texas) | Primary |
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