National Provider Identifier Database

BRAZOSPORT HEALTH ALLIANCE
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

BRAZOSPORT HEALTH ALLIANCE
129 CIRCLE WAY ST
SUITE A
LAKE JACKSON, TX77566-5249
Phone: 979-299-1210
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for BRAZOSPORT HEALTH ALLIANCE

NPI Number 1942441399
Legal business name
LBN
BRAZOSPORT HEALTH ALLIANCE
Authorized official DEBBIE THEVENET - (ADMINISTRATOR)
Entity Organization
Organization subpart Yes
Enumeration date 03/16/2009
Last updated 03/16/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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