BRAZOSPORT WOMENS HEALTH PA NPI 1407163116

NPI Information

BRAZOSPORT WOMENS HEALTH PA is a gynecology obstetrics gynecology in Lake Jackson, TX. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee BRAZOSPORT WOMENS HEALTH PA NPI is 1407163116. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

506 THIS WAY ST
LAKE JACKSON, TX
ZIP 77566-128
Phone: (979) 266-9544
Fax: (979) 529-9737

The provider's authorized official is Samatha Kadiyala .
The authorized official title is Physician - Owner and has the following contact phone number (979) 266-9544.

The enumeration date for this NPI number is 9/2/2010 and was last updated on 6/6/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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