| Tcbryan1 Llc | |
|
3608 E 29th St Ste 108 Bryan TX 77802-3814 | |
| (979) 307-9053 | |
| Not Available |
| Full Name | Tcbryan1 Llc |
|---|---|
| Speciality | Case Management |
| Location | 3608 E 29th St Ste 108, Bryan, Texas |
| Authorized Official Name and Position | Jarred Hurst (OWNER) |
| Authorized Official Contact | 9793079053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tcbryan1 Llc 3608 E 29th St Ste 108 Bryan TX 77802-3814 Ph: () - | Tcbryan1 Llc 3608 E 29th St Ste 108 Bryan TX 77802-3814 Ph: (979) 307-9053 |
| NPI Number | 1366257693 |
|---|---|
| Provider Enumeration Date | 02/12/2025 |
| Last Update Date | 02/12/2025 |
| Certification Date | 02/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366257693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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