Bryan Family Medicine Clinic, Pa

LBN: Bryan Family Medicine Clinic, Pa
Bryan Family Medicine Clinic, Pa is an health care organization with primary practice located at 2709 Osler Blvd , Bryan TX 77802-2518. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bryan Family Medicine Clinic, Pa can be contacted via phone (979) 776-2200, or through Dhaduk, Shailesh via phone (979) 776-2200.

Contact Information

Primary practice address
2709 Osler Blvd Bryan TX 77802-2518
Phone: (979) 776-2200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dhaduk, Shailesh Doctor of Medicine (MD)
Phone: (979) 776-2200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Texas

Profile Details

NPI number 1235193483
LBN Legal business name Bryan Family Medicine Clinic, Pa
DBA Doing business as
Authorized official Dhaduk, Shailesh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235193483 NPPES
Texas Other 0068MY BCBS OF TEXAS

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