TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER (NPI# 1063699312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063699312 |
Entity Type | Organization |
Organization Name | TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER |
Other Organization Name | TEXAS A&M PHYSICIANS |
Practice Address |
2900 E 29th St Ste 200 Bryan TX 77802-2623 |
Mailing Address |
2900 E 29th St Ste 100 Bryan TX 77802-2623 |
Practice Telephone | 9797768440 |
Practice Fax Number | 8776015854 |
Mailing Telephone | 9794360501 |
Mailing Fax Number | 9797766905 |
Enumeration Date | 2008-01-29 |
Last Update Date | 2020-09-22 |
Authorized Official Name | MR. LESLIE JEBSON (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 9794369233 |
Is Organization Subpart | Y |
Parent Organization Name | TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 198523601 | 05 |
Other Name | Type Code |
---|---|
Texas A&M Physicians | Doing Business As Name - Organization |
Address | Telephone Number | Fax Number |
---|---|---|
1905 Dove Crossing Ln Ste A, Navasota, TX 778685272 | 9368250755 | 8776015854 |
8441 State Highway 47 Ste 1400, Bryan, TX 778073208 | 9797748200 | 8776015854 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225280290 | Texas A&m University System Health Science Center | Allergy & Immunology | 2121 W Holcombe Blvd, Suite 1111, Houston, TX 77030-3303 | 2008-10-21 |
1912918798 | Texas A&m University System Health Science Center | Dentist | 3000 Gaston Ave, Dallas, TX 75226 | 2006-08-10 |
1851918700 | Texas A&m University System Health Science Center | Nursing Care | 8441 Riverside Parkway, Ms 1359, Bryan, TX 77807 | 2020-06-26 |
1992957963 | Texas A&m University System Health Science Center | General Practice | 3950 N Aw Grimes Blvd, Round Rock, TX 78665-3540 | 2008-10-21 |
1831383116 | Texas A&m University System Health Science Center | Dentist | 3000 Gaston Ave, Dallas, TX 75226 | 2007-08-30 |
Street Address |
2900 E 29TH ST STE 200 |
City | BRYAN |
State | TX |
Zip Code | 77802-2623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548266679 | Irvin F Sabrsula Jr. | Family Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2005-06-23 |
1891157707 | Meredith Williamson | Psychologist | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2016-03-22 |
1457797375 | Brandon Williamson | Emergency Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2013-05-19 |
1972863223 | Amanda Elizabeth Bray | Family Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2012-05-21 |
1083996177 | Katherine E Blalock | Family Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2011-09-14 |
1508019001 | Rae Ann Adams | Family Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2008-10-28 |
1033220942 | Amy L Waer | Surgery | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2006-08-31 |
1790893600 | Jennifer Diane Friedman | Obstetrics & Gynecology | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2006-08-29 |
1518979103 | Robert Pope | Family Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2006-08-12 |
1750392056 | Anna Lichorad | Family Medicine | 2900 E 29th St Ste 200, Bryan, TX 77802-2623 | 2006-08-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
Find all providers in zip 77802 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114346723 | Cardiac Cath Lab of Bryan/college Station, Lp | Clinic/Center | 3201 University Dr E, Suite 420, Bryan, TX 77802-3475 | 2014-04-10 |
1780961920 | St. Monica's Outreach Center for Addictive Disorders | Clinic/Center | 1703 E 29th St, Bryan, TX 77802-1406 | 2011-11-15 |
NPI | Name | Taxonomy | Address | Enumeration |
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1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
1669086963 | Cl Haven Enterprises | Clinic/Center | 4443 Loop 322, Abilene, TX 79602-8056 | 2020-09-03 |
1689292773 | Crossover Health Medical Group | Clinic/Center | 1940 Enchanted Way Ste 101, Grapevine, TX 76051-0965 | 2020-07-06 |
1053939140 | Crossover Health Medical Group | Clinic/Center | 215 W Camp Wisdom Rd Ste 11, Duncanville, TX 75116-3342 | 2020-07-06 |
1598380271 | Hanson Discovery Group LLC | Clinic/Center | 6002 Lofty Ln, Spring, TX 77379-5087 | 2020-06-09 |
1770107856 | Vascular Institute of Houston Pllc | Clinic/Center | 815 Brazos St Ste 500, Austin, TX 78701-2509 | 2020-06-03 |
1497378988 | Post-acute Care Services, Pllc | Clinic/Center | 5729 Martin Rd Apt 107, Plano, TX 75024-4955 | 2020-05-19 |
1407476138 | Summit Emergency Medicine, Pllc | Clinic/Center | 8111 Lbj Fwy Ste 475, Dallas, TX 75251-1386 | 2020-04-22 |
1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
1376163311 | Betts Ventures Inc | Clinic/Center | 13134 Dairy Ashford Rd Ste 900-a, Sugar Land, TX 77478-3756 | 2020-04-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.