BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC


Address: 1905 Dove Crossing Ln, #c, Navasota, TX 77868-5272
Phone: 9368250000

BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC (NPI# 1003157223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003157223
Entity Type Organization
Organization Name BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC
Other Organization Name GRIMES COUNTY COMMUNITY HEALTH CENTER
Practice Address 1905 Dove Crossing Ln
#c
Navasota
TX 77868-5272
Mailing Address 1500 University Dr E
Suite 100
College Station
TX 77840-2600
Practice Telephone 9368250000
Practice Fax Number 9368258001
Mailing Telephone 9798461100
Enumeration Date 2013-03-13
Last Update Date 2013-04-08
Authorized Official Name KAREN GARBER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 9798461100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA08203 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider/Organization Names

Other Name Type Code
GRIMES COUNTY COMMUNITY HEALTH CENTER Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184192064 Brazos Valley Community Action Agency, Inc Clinic/Center 624 Mary Lake Dr, Bryan, TX 77801-3423 2018-11-08
1083194138 Brazos Valley Community Action Agency, Inc Clinic/Center 315 Prospect Dr, Trinity, TX 75862-6202 2018-08-17
1407163660 Brazos Valley Community Action Agency, Inc Clinic/Center 1602 Rock Prairie Rd, #230, College Station, TX 77845-8308 2010-09-09
1043527476 Brazos Valley Community Action Agency, Inc Clinic/Center 1602 Rock Prairie Rd, #1100, College Station, TX 77845-8306 2010-09-07

Office Location

Street Address 1905 DOVE CROSSING LN
#C
City NAVASOTA
State TX
Zip Code 77868-5272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073696894 Allen Therapies Inc Physical Therapist 1905 Dove Crossing Ln, Ste A & B, Navasota, TX 77868-5272 2006-10-23
1629402672 Jenna L Elliott Physical Therapist 1905 Dove Crossing Ln, Suite Ab, Navasota, TX 77868-5272 2013-08-27
1578907630 Chasareth Edwonne Thompson Physician Assistant 1905 Dove Crossing Ln, Suite #c, Navasota, TX 77868-5272 2013-04-19
1073817078 Britney Ann Friesenhahn Physician Assistant 1905 Dove Crossing Ln, Suite C, Navasota, TX 77868-5272 2011-01-05
1184764235 Pam L Johnson Specialist 1905 Dove Crossing Ln, #c, Navasota, TX 77868-5272 2007-02-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588216311 Asa Pharmacy LLC Pharmacy 419 N. Lasalle St., Navasota, TX 77868 2019-07-11
1487190559 Moriah White Physician Assistant 3552 County Road 325, Navasota, TX 77868 2017-01-13
1245619550 Smith & Williams Community Healthcare LLC In Home Supportive Care 303 3rd St., Navasota, TX 77868 2015-05-20
1790186930 Navasota Dental, PC Dentist 415 North Lasalle Street, Suite 1a, Navasota, TX 77868 2014-09-08
1821308297 Kimberly Givens Occupational Therapy Assistant 1405 E Washington, Navasota, TX 77868 2010-10-19
1023237237 Ernest Dick Butler Dentist 116 Ivy, Navasota, TX 77868 2007-04-25
1639267800 John Ingram Walker Psychiatry & Neurology 1225 Leake St, Navasota, TX 77868 2006-10-11
1245325760 House of Stars Home Health 1105 West Washington Ave., Navasota, TX 77868 2006-10-03
1336248657 Brookshire Brothers Inc Pharmacy 309 N Lasalle, Navasota, TX 77868 2006-09-22
1538100763 Sulik Sheridan Navasota Inc. Skilled Nursing Facility 2100 Dove Crossing Lane, Navasota, TX 77868 2006-06-09
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578907630 Chasareth Edwonne Thompson Physician Assistant 1905 Dove Crossing Ln, Suite #c, Navasota, TX 77868-5272 2013-04-19
1073817078 Britney Ann Friesenhahn Physician Assistant 1905 Dove Crossing Ln, Suite C, Navasota, TX 77868-5272 2011-01-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831704576 Leila Olive Adell Physician Assistant 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 2020-09-10
1619591864 Today Telemedicine Pllc Physician Assistant 404 Oxford St Apt 2219, Houston, TX 77007-2679 2020-06-03
1497384168 Gregory C Etienne Physician Assistant 7400 N 4th St, Mcallen, TX 78504-1859 2020-04-05
1689202475 Theodore Inthaphom Physician Assistant 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 2020-03-29
1740816982 Alyssa Conrad Physician Assistant 4818 Star Jasmine Dr, Austin, TX 78723-6059 2020-03-19
1114558335 Erin Lynn Brown Physician Assistant 1504 Taub Loop Houston, Houston, TX 77030 2020-01-27
1245870930 Jessica Grimaldo Physician Assistant 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 2020-01-09
1730728528 Holli Marie Beard Physician Assistant 2625 Scripture St Ste 101, Denton, TX 76201-2304 2019-12-27
1477191237 Ronald Edwin Brown Physician Assistant 1427 Cypress Point Dr, Gunter, TX 75058-3201 2019-12-11
1053957910 Rossalya Aracely Granda Gutierrez Physician Assistant 4150 N Collins St, Arlington, TX 76005-4547 2019-11-25
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Competitor

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City NAVASOTA
Zip Code 77868

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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