BRAZOS VALLEY PLASTIC SURGERY CENTER LLC
NPI 1134593056
Clinic/Center - Ambulatory Surgical in College Station, TX
About Brazos Valley Plastic Surgery Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAZOS VALLEY PLASTIC SURGERY CENTER LLC (NPI 1134593056) is a healthcare organization registered as an ambulatory surgical in College Station, Texas and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through September 4, 2027 and lists Malcolm Rude, Facility Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2329835
Brazos Valley Plastic Surgery · College Station, TXOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COLLEGE STATION, TX 77845
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brazos Valley Plastic Surgery Center LLC's NPI number?
The NPI number for Brazos Valley Plastic Surgery Center LLC is 1134593056. It was assigned to this organization in the NPPES registry on November 16, 2015.
Where is Brazos Valley Plastic Surgery Center LLC located?
Brazos Valley Plastic Surgery Center LLC is located at 2809 Earl Rudder Fwy S Suite 101, College Station, TX 77845. The listed phone number is (979) 776-8825.
What is Brazos Valley Plastic Surgery Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Does Brazos Valley Plastic Surgery Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2329835) is associated with this NPI, valid through September 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Brazos Valley Plastic Surgery Center LLC was last updated on November 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brazos Valley Plastic Surgery Center Llc · NPI 1134593056
Ambulatory Surgical organization in College Station, Texas. Organization record, active in the CMS NPPES registry since November 16, 2015.
## Identity
- **NPI:** 1134593056 (Entity type: Organization)
- **Enumerated:** November 16, 2015
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Organization subpart:** No
- **Authorized official:** Malcolm Rude, FACILITY DIRECTOR
## Practice location
- **Address:** 2809 EARL RUDDER FWY S, SUITE 101, College Station, TX 77845-7382
- **Phone:** (979) 776-8825
## Record status
- **NPPES last updated:** November 16, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1134593056) · Data from the CMS NPPES public registry.