Brenham Family Practice And Obstetrics Pa | |
601 Medical Pkwy Ste D Brenham TX 77833-5430 | |
(979) 836-2822 | |
(979) 836-1943 |
Full Name | Brenham Family Practice And Obstetrics Pa |
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Speciality | Clinic/Center |
Location | 601 Medical Pkwy Ste D, Brenham, Texas |
Authorized Official Name and Position | Jon F Bode (PRESIDENT / MEDICAL DIRECTOR) |
Authorized Official Contact | 9798362822 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brenham Family Practice And Obstetrics Pa 601 Medical Pkwy Ste D Brenham TX 77833-5430 Ph: (979) 836-2822 | Brenham Family Practice And Obstetrics Pa 601 Medical Pkwy Ste D Brenham TX 77833-5430 Ph: (979) 836-2822 |
NPI Number | 1275193005 |
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Provider Enumeration Date | 06/14/2019 |
Last Update Date | 06/12/2024 |
Medicare PECOS PAC ID | 3577552942 |
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Medicare Enrollment ID | O20181029002675 |
Identifier | Type | State | Issuer |
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1275193005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Brenham Rural Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Brenham State Supported Living Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4001 Highway 36 S, Brenham, TX 77833 Phone: 979-836-4511 Fax: 979-277-1865 | |
Brenham Clinic Assn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 | |
Malcolm C. Lochiel, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Medical Pkwy, Suite D, Brenham, TX 77833 Phone: 979-251-7273 Fax: 979-251-7378 | |
Brenham Family Practice And Obstetrics Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 Medical Pkwy, Ste D, Brenham, TX 77833 Phone: 979-836-2822 Fax: 979-836-1943 | |
Brenham Clinic Assn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 North Park St, Brenham, TX 77833 Phone: 979-836-6153 |