Brazos Valley Oms Pllc in College Station - Periodontics
Brazos Valley Oms Pllc - NPI 1194931303
Brazos Valley Oms Pllc is a Periodontics in College Station, Texas. Brazos Valley Oms Pllc practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Brazos Valley Oms Pllc is 1194931303. The last update date is 2020-01-02.
Brazos Valley Oms Pllc's current location address is 1505 Emerald Plaza, College Station, Texas. You can contact this provider via phone number 9797647101 and fax number 9797647115. The mailing address for Brazos Valley Oms Pllc is 1505 Emerald Plaza, College Station, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brazos Valley Oms Pllc |
|---|---|
| Address | 1505 Emerald Plaza, College Station, Texas |
| Phone Number | 9797647101 |
| Fax Number | 9797647115 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/SURG |
|---|---|
| Authorized Official Name | Garrett Bryan James |
| Credentials | DDS, MD |
| Telephone Number | 9797647101 |
NPI Number Detail
| NPI Number | 1194931303 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2020-01-02 |
Provider Mailing Address Detail
| Address | 1505 Emerald Plaza |
|---|---|
| City | College Station |
| State | Texas (TX) |
| Post Code | 778451501 |
| Phone Number | 9797647101 |
| Fax Number | 9797647115 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 10460 |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 813315 | TN | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brazos Valley Oms Pllc by the Centers for Medicare & Medicaid Services?
The Brazos Valley Oms Pllc has been issued the NPI (National Provider Identifier) 1194931303 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brazos Valley Oms Pllc is physically located?
The Brazos Valley Oms Pllc is situated at the following address: 1505 Emerald Plaza, College Station, TX 778451501.
What is Brazos Valley Oms Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brazos Valley Oms Pllc is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date was the 1194931303 assigned to Brazos Valley Oms Pllc?
The Brazos Valley Oms Pllc was issued its 1194931303 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Brazos Valley Oms Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brazos Valley Oms Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-01-02.