BRAZOSPORT UROLOGY, PA

LAKE JACKSON, TX
NPI1417177270
Entity TypeOrganization
Authorized ContactDERRICK ANTHONY BERGER
Practice Manager
979-297-4140
Organization Subpart ?No
Primary Taxonomy208800000X Urology
(Licence: TX  M5052)
Enumeration Date2007-04-26
Last Update Date2008-06-23
Business Address
BRAZOSPORT UROLOGY, PA
115 ABNER JACKSON PKWY SUITE C
LAKE JACKSON, TX 77566-5157
Phone number: 979-297-4140
Mailing Address
BRAZOSPORT UROLOGY, PA
115 ABNER JACKSON PKWY SUITE C
LAKE JACKSON, TX 77566-5157
Phone number: 979-297-4140
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