Brenham Clinic Assn
Organization Active NPI Pediatrics Physician · Brenham, TX
NPI 1861500522 · NPPES record last updated Oct 27, 2007
Key facts
- NPI
- 1861500522
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- E2546 (TX)
- Legal business name
- BRENHAM CLINIC ASSN
- Practice address
- 600 N Park St
Brenham, TX 77833-2610 - Phone
- (979) 836-6153
- NPI assigned
- Aug 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Gracie Slattery, RN
- Title
- Administrator
- Phone
- (979) 836-6153
Corporate family (same tax ID) 7
Practitioners 1
National Provider Directory
- Tax ID family
- Brenham Clinic Assn
Locations
235 W Palm St
Ste 235
Bellville, TX 77418
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | G5283 | TX | |
| Pediatrics Physician |
208000000X | F3730 | TX | |
| Pediatrics Physician |
208000000X | K6753 | TX | |
| Pediatrics Physician |
208000000X | E2546 | TX | Yes |
Addresses
Primary practice location
600 N Park St
Brenham, TX 77833-2610
Mailing address
235 W Palm St Ste 235
Bellville, TX 77418-1372
Phone (979) 836-6153
Other providers in Brenham, TX
- Brenham Care Center
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Clinic Assn
- Brenham Dermatology PLLC
- Brenham Drug Partners LC
- Brenham Drug Partners LC
- Brenham Eye Associates PLLC
All providers in Brenham, TX · Pediatrics 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 Oct 27, 2007. 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.