OrganizationActive
Federal Prison Camp
NPI 1992061188 · Prison Health Clinic/Center · Bryan, TX
Provider details
- NPI number
- 1992061188
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kathleen Rivers, Health Services Administrator(979) 823-1879
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1100 Ursuline Ave
Bryan, TX 77803-4951
Phone: (979) 823-1879
Fax: (979) 821-3315
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Ursuline Ave
Bryan, TX 77805-2197
Registry dates
- Enumerated
- 2012-04-02
- Last updated
- 2012-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.