Brazosport Urology, Pa Valid NPI
Organization · Urology Physician · Lake Jackson, TX
- NPI
- 1417177270
- Type
- Organization (Type 2)
- Primary specialty
- Urology Physician (Urology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208800000X
- License number
- M5052 (TX)
- Enumerated
- 2007-04-26
- Last updated
- 2008-06-23
Practice location
115 Abner Jackson Pkwy, Suite C
Lake Jackson, TX 77566-5157
(979) 297-4140