Mhmra Of Brazos Valley

LBN: Mhmra Of Brazos Valley
Mhmra Of Brazos Valley is an health care organization with primary practice located at 804 S Texas Ave , Bryan TX 77803-3946. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Mhmra Of Brazos Valley can be contacted via phone (979) 822-6467, or through Kelly, Bill via phone (979) 822-6467.

Contact Information

Primary practice address
804 S Texas Ave Bryan TX 77803-3946
Phone: (979) 822-6467
Fax: (979) 821-9448
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Bill
Phone: (979) 822-6467

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Texas

Profile Details

NPI number 1881621225
LBN Legal business name Mhmra Of Brazos Valley
DBA Doing business as
Authorized official Kelly, Bill
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 26th, 2024 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881621225 NPPES
Texas MEDICAID 136366501
Texas MEDICAID 136366506
Texas MEDICAID 136366505
Texas MEDICAID 136366507
Texas MEDICAID 136366502
Texas MEDICAID 136366504

Popular Providers