Provider Demographics
NPI:1801296124
Name:BRAZOS TRANSIT DISTRICT
Entity type:Organization
Organization Name:BRAZOS TRANSIT DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCBETH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-778-4480
Mailing Address - Street 1:2117 NUCHES LN
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77803-1986
Mailing Address - Country:US
Mailing Address - Phone:979-778-4480
Mailing Address - Fax:979-778-3606
Practice Address - Street 1:1759 N EARL RUDDER FWY
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77803-5167
Practice Address - Country:US
Practice Address - Phone:979-778-4480
Practice Address - Fax:979-778-3606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347B00000X
343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
No347B00000XTransportation ServicesBus