| Organization Name: | BRAZOS VALLEY COMMUNITY ACTION AGENCY, INC |
| NPI Number: | 1003157223 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN GARBER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1905 Dove Crossing Ln #c Navasota |
| State: | TX US |
| Postal Code: | 778685272 |
| Phone Number: | 9368250000 |
| Fax Number: | 9368258001 |
| NPI Enumeration Date: | 03/13/2013 |
| NPI Last Update Date: | 04/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA08203 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |