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NPI Provider: 1780680280
Contact Name: Slattery Gracie
Position: administrator
Phone: (979) 836-6153
Brenham Clinic Assn Information:
Brenham Clinic Assn organization have npi 1780680280, taxonomy code is 207Q00000X with license number is G5283 in . This Business address located in 600 North Park St, Brenham, TX 77833 Texas. Get directions of Brenham Clinic Assn.
Practice Location
Address: 235 W Palm St, Bellville, TX 77418
Phone: (979) 865-9391
Business Location
Address: 600 North Park St, Brenham, TX 77833
Phone: (979) 836-6153
Fax: (214) 739-5029
Taxonomy
Taxonomy Code: 207Q00000X
License Number: G5283
License Number of State: TX
Primary Taxonomy Switch: N
Enumeration Date: 6/21/2005
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