| |
2310 De Lee St Bryan TX 77802-2815 | |
(979) 774-0400 | |
(979) 774-8908 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2310 De Lee St, Bryan, Texas |
Authorized Official Name and Position | Elizabeth Catherine Berigan (OWNER) |
Authorized Official Contact | 9797740400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2310 De Lee St Bryan TX 77802-2815 Ph: (979) 774-0400 | 2310 De Lee St Bryan TX 77802-2815 Ph: (979) 774-0400 |
NPI Number | 1548344401 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 08/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548344401 | NPI | - | NPPES |
172593901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | J4716 (Texas) | Primary |
J. T. L. Mcnew, M.d., Faafp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Sulphur Springs Rd, Bryan, TX 77801 Phone: 979-823-8101 Fax: 979-822-7620 | |
Davis P Buras Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3201 University Dr E Ste 345, Bryan, TX 77802 Phone: 979-776-4797 Fax: 979-776-9502 | |
Texas Cardiac Arrhythmia Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2605 Osler Blvd, Bryan, TX 77802 Phone: 979-774-4008 | |
Ricardo S. Lemos Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2716 Osler Blvd, Bryan, TX 77802 Phone: 979-776-3850 Fax: 979-776-3890 | |