MEDICARE: REMARKABLE LTC PARTNERS OF BRAZOS VALLEY, LP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	45D2280982	OTHER		CLIA
2	020616	OTHER	TX	STATE OPERATORS LICENSE

General Provider Information

NPI Number	:	1942800529
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMARKABLE LTC PARTNERS OF BRAZOS VALLEY, LP

Provider Business Mailing Address
First Line	:	101 W RENNER RD STE 420
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-2022
Country	:	US
Telephone Number	:	877-525-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	1645 GREENS PRAIRIE RD W STE 401B-2
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-8404
Country	:	US
Telephone Number	:	979-314-2620
Fax Number	:	979-314-2920

Authorized Official
Title or Position	:	EXECUTIVE VICE PRESIDENT
Name	:	DONNIE MABERRY
Credential	:
Telephone Number	:	972-468-8070

Provider Enumeration Date	:	10/31/2020
Last Update Date	:	04/15/2026

Similar Medicare Providers

1982394003 — MR. DAVID ALEJANDRO GARCIA
Practice Location Address:

8404 ALISON AVE
COLLEGE STATION, TX
77845-5504

Practice Phone: 956-401-9191
Practice Fax:

1780998914 — MRS. JESSICA ANN KINCAID
Practice Location Address:

1432 ADKIN DR
IRON STATION, NC
28080-8404

Practice Phone: 704-735-9693
Practice Fax:

1295666873 — KENADY DUNCAN SMITH MS, RD
Practice Location Address:

2911 TEXAS AVE S STE 1000B
COLLEGE STATION, TX
77845-1184

Practice Phone: 936-337-3223
Practice Fax:

1992451504 — HARTINI GELLANG CRNA
Practice Location Address:

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441

Practice Phone: 979-207-0100
Practice Fax: 979-207-2161

1710073937 — DR. RODNEY ALAN LIGHT MD
Practice Location Address:

700 SCOTT AND WHITE DR
COLLEGE STATION, TX
77845-6441

Practice Phone: 979-207-0100
Practice Fax: 979-207-2161

1346170826 — NATALIE STEWART
Practice Location Address:

4340 DECATUR DR APT 6204
COLLEGE STATION, TX
77845-9755

Practice Phone: 832-702-6412
Practice Fax:

Directions to “REMARKABLE LTC PARTNERS OF BRAZOS VALLEY, LP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.