| Brazos Valley Community Action Agency, Inc. | |
|
19455 Stokes Rd Rm 605 Waller TX 77484-7310 | |
| (979) 977-6395 | |
| (979) 731-4570 |
| Full Name | Brazos Valley Community Action Agency, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 19455 Stokes Rd Rm 605, Waller, Texas |
| Authorized Official Name and Position | Theresa Sabella (CEO) |
| Authorized Official Contact | 9793832340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brazos Valley Community Action Agency, Inc. 1500 University Dr E Ste 100 College Station TX 77840-2600 Ph: (979) 383-2340 | Brazos Valley Community Action Agency, Inc. 19455 Stokes Rd Rm 605 Waller TX 77484-7310 Ph: (979) 977-6395 |
| NPI Number | 1134801566 |
|---|---|
| Provider Enumeration Date | 08/04/2023 |
| Last Update Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134801566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Brazos Valley Community Action Agency, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2402 Waller St, Waller, TX 77484 Phone: 979-977-6380 Fax: 979-731-4570 | |
Tomagwa Ministries, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1613 Key Street, Waller, TX 77484 Phone: 281-357-0747 Fax: 832-559-5190 |