Unknown Individual – Psychiatry Physician, NPI 1285658344
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
804, Texas Avenue South, Bryan, Brazos County, Texas, 77803, United States
P.O. BOX 4588
BRYAN, TX 778054588
Phone: (979) 822-6467
Fax: (979) 821-9448
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Pediatric Medicine | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| - | TX |
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