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BRAZOSPORT HEALTH ALLIANCE NPI 1942441399


NPI Information

NPI: 1942441399
Provider Name: BRAZOSPORT HEALTH ALLIANCE
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
129 CIRCLE WAY ST
SUITE A
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 299-1210
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BRAZOSPORT HEALTH ALLIANCE is a preferred provider organization in Lake Jackson, TX. The provider is 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. BRAZOSPORT HEALTH ALLIANCE NPI is 1942441399. The provider is registered as an organization entity type.

The provider's business location address is:

129 CIRCLE WAY ST
SUITE A
LAKE JACKSON, TX
ZIP 77566-249
Phone: (979) 299-1210

The provider's authorized official is Debbie Thevenet .
The authorized official title is Administrator and has the following contact phone number (979) 299-1210.

The enumeration date for this NPI number is 3/16/2009 and was last updated on 3/16/2009.


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
1305R00000XPreferred Provider OrganizationYes

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: 5/5/2024

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