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NPI Verification

National Provider Identifier: 1417177270

Brazosport Urology, PA

Organization

Primary Specialty

Urology

Code: 208800000X

Practice Address

115 ABNER JACKSON PKWY

SUITE C

LAKE JACKSON, TX 775665157

Phone: 979-297-4140

NPI Enumeration Date

April 26, 2007

NPI Number

1417177270

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry