BRAZOSPORT REGIONAL PHYSICIAN SERVICES (NPI# 1861795197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861795197 |
| Entity Type | Organization |
| Organization Name | BRAZOSPORT REGIONAL PHYSICIAN SERVICES |
| Other Organization Name | BRAZOSPORT REGIONAL URGENT CARE CENTER |
| Practice Address |
508 This Way St Lake Jackson TX 77566-5128 |
| Mailing Address |
100 Medical Dr Lake Jackson TX 77566-5674 |
| Practice Telephone | 9794809467 |
| Mailing Telephone | 9792851105 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | MR. DANIEL BUCHE (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9792851105 |
| Is Organization Subpart | Y |
| Parent Organization Name | BRAZOSPORT REGIONAL PHYSICIAN SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
TX | Ambulatory Health Care Facilities | |
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Brazosport Regional Urgent Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588982987 | Brazosport Regional Physician Services | Obstetrics & Gynecology | 1525 North Brooks Dr, Brazoria, TX 77422 | 2010-05-10 |
| Street Address |
508 THIS WAY ST |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073070207 | Pediatric Urgent Care of Texas Pllc | Clinic/Center | 508 This Way St, Lake Jackson, TX 77566-5128 | 2019-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467663559 | Raymond Joseph Cranston IIi | General Practice | 117 Portulaca St, Lake Jackson, TX 77566-5054 | 2007-05-24 |
| 1932291325 | Jana K Marshall | General Practice | 215 Oak Dr South Suite I, Lake Jackson, TX 77566 | 2006-09-29 |
| 1275620577 | Antony B Thomas | General Practice | 215 Oak Dr South Suite I, Lake Jackson, TX 77566 | 2006-10-06 |
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| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
Please comment or provide details below to improve the information on BRAZOSPORT REGIONAL PHYSICIAN SERVICES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.