BRAZOSPORT REGIONAL PHYSICIAN SERVICES NPI 1861795197

NPI Information

  • NPI: 1861795197
  • Provider Name: BRAZOSPORT REGIONAL PHYSICIAN SERVICES
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: BRAZOSPORT REGIONAL URGENT CARE CENTER
  • Address: 508 THIS WAY ST
    LAKE JACKSON, TX
    ZIP 77566
  • Phone: (979) 480-9467

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NPI Details

BRAZOSPORT REGIONAL PHYSICIAN SERVICES is a general practice in Lake Jackson, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BRAZOSPORT REGIONAL PHYSICIAN SERVICES NPI is 1861795197. The provider is registered as an organization entity type.
The provider Is Doing Business As Brazosport Regional Urgent Care Center.

The provider's business location address is:

508 THIS WAY ST
LAKE JACKSON, TX
ZIP 77566-128
Phone: (979) 480-9467

The provider's authorized official is Daniel Buche .
The authorized official title is Cheif Executive Officer and has the following contact phone number (979) 285-1105.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 1/3/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareTEXASNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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