BRAZOS VALLEY PLASTIC SURGERY CENTER
Ambulatory Health at Earl Rudder Fwy, College Station, TX

License number
Texas K9893
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. MALCOLM RUDE MD
Title: OWNER/PHYSICIAN
Phone: (979) 776-8825
Address
Address
2809 Earl Rudder Fwy S SUITE 101, College Station, TX 77845
National Provider ID: 1689006728
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRAZOS VALLEY PLASTIC SURGERY CENTER LLC

College Station, TX

Industry:
Medical Doctor's Office
Registration:
May 17, 2013
Addresses:
4744 Johnson Crk Loop, College Station, TX 77845 (Mailing)
2809 Earl Rudder Fwy S, College Station, TX 77845
State ID:
0801786226
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Malcolm J Rude (Member), 4744 Johnson Crk Loop, College Station, TX 77845,Stacie Rude Managing Member, inactive
Agent:
Malcolm Rude,4744 Johnson Crk Loop, College Station, TX 77845 (Physical)
TIN:
32051022989

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