TEXAS AVENUE MEDICAL CLINIC – NPI #1942373816
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

TEXAS AVENUE MEDICAL CLINIC is a provider located in BRYAN, TX. NPPES has assigned the NPI number 1942373816 to TEXAS AVENUE MEDICAL CLINIC on November 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 9 years ago on Aug 21, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TEXAS AVENUE MEDICAL CLINIC below.

NPI Profile for
TEXAS AVENUE MEDICAL CLINIC

NPI Number
1942373816
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TEXAS AVENUE MEDICAL CLINIC
Primary location
1703 E 29TH STREET
BRYAN, TX 77802
Phone: (979) 779-4756 Fax: (979) 823-3018
Mailing address
1703 E 29TH ST
BRYAN, TX 77802-1406
Phone: (979) 779-4756 Fax: (979) 823-3018
Organization Subpart
No
Authorized Official
RANY CHERIAN
BUSINESS OWNER
Phone: (979) 779-4756
Updated
Identifiers

Identifiers for TEXAS AVENUE MEDICAL CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX091802101
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208600000X
- Surgery
207QA0401X
- Family Medicine / Addiction Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.