TEXAS AVENUE MEDICAL CLINIC
NPI 1942373816
Family Medicine in Bryan, TX

Active since November 16, 2006CLIA 45D0718803 · Certificate of Compliance
1703 E 29TH STREET, BRYAN, TX 77802(979) 779-4756(979) 823-3018 Get Directions Write a Review

NPPES record last updated: August 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Texas Avenue Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TEXAS AVENUE MEDICAL CLINIC (NPI 1942373816) is a healthcare organization registered as a family medicine in Bryan, Texas and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 12, 2026 and lists Rany A Cherian, Business Owner, as its authorized official.

NPPES Registry Identity

NPI1942373816
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTEXAS AVENUE MEDICAL CLINIC
Location Address1703 E 29TH STREETBryan, TX 77802
Mailing Address1703 E 29th StBryan, TX 77802-1406 · (979) 779-4756 · Fax (979) 823-3018
Fax(979) 823-3018
Organization SubpartNo
Authorized OfficialRany A CherianBusiness Owner · (979) 779-4756
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 21, 2017
NPI 1942373816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedSurgeryTaxonomy 208600000X
1703 E 29TH STREET, Bryan, TX 77802

Other Identifiers 2

Medicaid091802101TX
Medicare PIN0027BMTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D0718803
Facility Type
Other
Certificate Effective Date
September 13, 2024
Certificate Expiration Date
September 12, 2026
Laboratory Director
RANY A. CHERIAN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Texas Avenue Medical Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942373816, enumerated as an "organization" on November 16, 2006.

The provider is located at 1703 E 29TH STREET BRYAN, TX 77802 and the phone number is (979) 779-4756.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: WellPoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.