BRAZOSPORT DERMATOLOGY CLINIC PA

LAKE JACKSON, TX
NPI1457465452
Entity TypeOrganization
Authorized ContactFRANK A PELTIER
President
979-297-6458
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: TX  F1894)
Enumeration Date2006-08-18
Last Update Date2010-12-30
Business Address
BRAZOSPORT DERMATOLOGY CLINIC PA
BRAZOSPORT DERMATOLOGY CLINIC PA 215 OAK DRIVE SOUTH STE C
LAKE JACKSON, TX 77566
Phone number: 979-297-6458
Mailing Address
BRAZOSPORT DERMATOLOGY CLINIC PA
215 OAK DR S STE C
LAKE JACKSON, TX 77566-5617
Phone number: 979-297-6458
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