DUDYCHA PAIN CLINIC PLLC
Ambulatory Health at Rock Prairie Rd, College Station, TX

License number
Texas N1310
Category
Ambulatory Health
Type
Pain
Owner
Name: DR. BENJAMIN DUDYCHA M.D.
Title: DOCTOR
Phone: (979) 764-7246
Address
Address
1602 Rock Prairie Rd STE 460, College Station, TX 77845
National Provider ID: 1528322807
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DUDYCHA PAIN CLINIC PLLC at bizstanding.com

DUDYCHA PAIN CLINIC, PLLC

College Station, TX

Registration:
Jun 14, 2012
Addresses:
1602 Rock Pr Rd STE 460, College Station, TX 77845 (Mailing)
6166 Imperial Loop, College Station, TX 77845
State ID:
0801611778
Business type:
Domestic Limited Liability Company (LLC)
President:
Benjamin William Dudycha (President), 1602 Rock Pr Rd STE 460, College Station, TX 77845
Agent:
Christopher J. Smitherman,6166 Imperial Loop SUITE 15, College Station, TX 77845 (Physical)
TIN:
32048250768

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