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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: August 09, 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
Phone(979) 779-4756
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
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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

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

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 Compliance 45D0718803

Texas Avenue Medical Clinic · Bryan, TX
Active · expires Sep 12, 2026
CLIA Number45D0718803
Laboratory TypeOther
Certificate Effective DateSeptember 13, 2024
Certificate Expiration DateSeptember 12, 2026
Laboratory DirectorRany A. Cherian
Laboratory Phone(979) 779-4756
Laboratory LocationTexas Avenue Medical Clinic1703 East 29th St, Bryan, TX 77802
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Texas Avenue Medical Clinic's NPI number?

The NPI number for Texas Avenue Medical Clinic is 1942373816. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Texas Avenue Medical Clinic located?

Texas Avenue Medical Clinic is located at 1703 E 29th Street, Bryan, TX 77802. The listed phone number is (979) 779-4756.

What is Texas Avenue Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Texas Avenue Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D0718803) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Texas Avenue Medical Clinic accept?

Health plans from WellPoint list Texas Avenue Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Texas Avenue Medical Clinic was last updated on August 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.