BRAZOS WOUND ASSOCIATES, PA
Radiology at Rock Prairie Rd, College Station, TX

License number
Texas L0167
Category
Radiology
Type
Surgery
Owner
Name: HUGH M TADLOCK MD
Title: OWNER
Phone: (512) 508-1809
Address
Address 2
1605 Rock Prairie Rd SUITE 102, College Station, TX 77845
PO Box 4063, Bryan, TX 77805
National Provider ID: 1578788519
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRAZOS WOUND ASSOCIATES, PA

1605 Rock Pr Rd STE 102, College Station, TX 77845

Doing business as:
Brazos Wound Associates
Registration:
Feb 20, 2004
Phone:
(979) 703-1826 (Phone)
State ID:
0800307412
Business type:
Professional Association
Members:
Hugh M. Tadlock (Secretary, Treasurer, Vice-President, President),Wade P. Farrow President, Treasurer , Director , Member , Secretary , Vice-President, inactive,Jill Holcomb Member, inactive
Agent:
Hugh M Tadlock,1605 Rock Pr Rd STE 102, College Station, TX 77845 (Physical)
TIN:
32035643454
Categories:
Physicians & Surgeons

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