Provider Demographics
NPI:1689981227
Name:ARTHRITIS & OSTEOPOROSIS CLINIC OF BRAZOS VALLEY
Entity Type:Organization
Organization Name:ARTHRITIS & OSTEOPOROSIS CLINIC OF BRAZOS VALLEY
Other - Org Name:AOC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAPATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-696-8000
Mailing Address - Street 1:1725 BIRMINGHAM RD STE 200
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STA
Mailing Address - State:TX
Mailing Address - Zip Code:77845-4064
Mailing Address - Country:US
Mailing Address - Phone:979-696-0000
Mailing Address - Fax:979-696-8100
Practice Address - Street 1:1725 BIRMINGHAM RD STE 200
Practice Address - Street 2:
Practice Address - City:COLLEGE STA
Practice Address - State:TX
Practice Address - Zip Code:77845-4064
Practice Address - Country:US
Practice Address - Phone:979-696-0000
Practice Address - Fax:979-696-8100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6475330001Medicare NSC