BRAZOS VALLEY PLASTIC SURGERY CENTER is an ambulatory surgical clinic center in College Station, TX. BRAZOS VALLEY PLASTIC SURGERY CENTER NPI is 1689006728. The provider is registered as an organization entity type.
The provider's business location address is:
2809 EARL RUDDER FWY S SUITE 101 COLLEGE STATION, TX ZIP 77845-080 Phone: (979) 776-8825 Fax: (979) 776-2655
The provider's authorized official is Malcolm Rude . The authorized official title is Owner/physician and has the following contact phone number (979) 776-8825.
The CLIA number assigned to this NPI record is 45D2329835 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/31/2013 and was last updated on 7/31/2013.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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