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General NPI Number Information
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NPI Number | 1558645333
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Entity Type | Organization
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Legal Business Name | BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC.
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 300 POST OAK ST
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City | HEARNE
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State | TX
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Zip | 77859-2557
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Country | US
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Telephone | 979-279-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 UNIVERSITY DR E
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City | COLLEGE STATION
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State | TX
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Zip | 77840-2600
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Country | US
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Telephone | 979-383-2340
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | THERESA SABELLA
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Credential | JD, PHD
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Telephone | 979-383-2348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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