Brenham Clinic Assn
Organization Active NPI Internal Medicine Physician · Bellville, TX
NPI 1780680280 · NPPES record last updated Apr 20, 2008
Key facts
- NPI
- 1780680280
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- F4241 (TX)
- Legal business name
- BRENHAM CLINIC ASSN
- Practice address
- 235 W Palm St
Ste 106
Bellville, TX 77418-1300 - Phone
- (979) 865-9391
- NPI assigned
- Jun 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Gracie Slattery, RN
- Title
- Administrator
- Phone
- (979) 836-6153
Corporate family (same tax ID) 7
Practitioners 2
-
Dan F Davis, PA-C
National Provider Directory
- Tax ID family
- Brenham Clinic Assn
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | G5283 | TX | |
| Internal Medicine Physician |
207R00000X | E8650 | TX | |
| Internal Medicine Physician |
207R00000X | F4241 | TX | Yes |
| Internal Medicine Physician |
207R00000X | M3467 | TX | |
| Obstetrics & Gynecology Physician |
207V00000X | H0692 | TX | |
| Pediatrics Physician |
208000000X | F3730 | TX | |
| Pediatrics Physician |
208000000X | K6753 | TX | |
| Pediatrics Physician |
208000000X | E2546 | TX | |
| Diagnostic Radiology Physician |
2085R0202X | E8707 | TX | |
| Surgery Physician |
208600000X | J1755 | TX | |
| Surgery Physician |
208600000X | G5655 | TX |
Addresses
Primary practice location
235 W Palm St
Ste 106
Bellville, TX 77418-1300
Mailing address
600 North Park St
Brenham, TX 77833-2610
Phone (979) 836-6153
Other providers in Bellville, TX
- Bellville Medical Center
- Bellville Medical Center
- Don R Bosse
- Jennifer Lynn Brandes
- Brazos Family Practice, PLLC
- Brenham Clinic Association PA
- Brookshire Brothers Inc
- Helen Torrey Burchfield
- C Christophe Gay MD PA
- Calvary Care Group, Inc.
All providers in Bellville, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.