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Brazosport Radiology Pllc
Diagnostic Radiology Physician in Lake Jackson, Texas
NPI 1497970669

Brazosport Radiology Pllc is a Diagnostic Radiology Physician based in Sedalia, TX and is specialized in Diagnostic Radiology. Brazosport Radiology Pllc practices in Lake Jackson, TX. The NPI Number for Brazosport Radiology Pllc is 1497970669 and holds a License No. (Texas).

The current practice location address for Brazosport Radiology Pllc is 100 Medical Dr, Lake Jackson, TX and can be reached out via phone at 979-285-1937.

Location: 100 Medical Dr, Lake Jackson, TX, 65302-1547
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497970669
Provider Name
Brazosport Radiology Pllc
Credential
Provider Entity Type
Organization
Address
100 Medical Dr, Lake Jackson, TX, 65302-1547
Phone Number
979-285-1937
Fax Number
Provider Enumeration Date
04/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
196064301 05 TX
DO3043 01 TX RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 Medical Dr
City
Lake Jackson
State
Texas
Zip
77566-5674
Phone Number
979-285-1937
Fax Number
person
Provider Business Mailing Address Details
Address
100 Medical Dr
City
Lake Jackson
State
Texas
Zip
77566-5674
Phone Number
979-285-1937
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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