Organization Active NPI

Central Texas Osteopathic Medical Associates, P.a.

Doing business as Brazos Valley Urgent Care

  • Urgent Care Clinic/Center
  • College Station, TX
National Provider Identifier
1427176007
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CENTRAL TEXAS OSTEOPATHIC MEDICAL ASSOCIATES, P.A.
Doing business as
Brazos Valley Urgent Care
Practice address
2911 Texas Ave S
Suite 103
College Station, TX 77845-5387
Phone
(979) 764-2882
Fax
(979) 764-2828
NPI assigned
Mar 26, 2007
Last updated
Apr 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Daniel Willliam Saylak, D.O.
Title
President
Phone
(979) 764-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X TX Primary

Addresses

Primary practice location

2911 Texas Ave S
Suite 103
College Station, TX 77845-5387

Mailing address

2911 Texas Ave S
Suite 103
College Station, TX 77845-5387
Phone (979) 764-2882

Other identifiers 2

IdentifierTypeStateIssuer
0010MUOtherTXBCBS
175193501MedicaidTX

Other names 1

  • Brazos Valley Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

2900 E 29th St
Bryan, TX 77802
Phone (979) 436-0700

2911 Texas Ave S
College Station, TX 77845
Phone (979) 764-2882

2911 Texas Ave S
Ste 103
College Station, TX 77845
Phone (979) 764-2882

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1427176007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 TEXAS AVE S",
            "address_2": "SUITE 103",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455387",
            "telephone_number": "979-764-2882",
            "fax_number": "979-764-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 TEXAS AVE S",
            "address_2": "SUITE 103",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455387",
            "telephone_number": "979-764-2882",
            "fax_number": "979-764-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL TEXAS OSTEOPATHIC MEDICAL ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "SAYLAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "WILLLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-764-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010MU",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175193501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brazos Valley Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.