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Contact Information

BRAZOSPORT HEALTH ALLIANCE
129 CIRCLE WAY ST
SUITE A
LAKE JACKSON, TX77566-5249
 Phone: 979-299-1210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for BRAZOSPORT HEALTH ALLIANCE

NPI Number 1942441399
LBN Legal business name BRAZOSPORT HEALTH ALLIANCE
Authorized official DEBBIE THEVENET - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/16/2009
Last updated 03/16/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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