NPI | 1467509919 |
---|---|
Former Legal Business Name | BRAZORIA NEUROLOGICAL ASSOCIATES, P.A. |
Entity Type | Organization |
Authorized Contact | BLAIR WILLIAM KRELL President 979-299-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TX L1637) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2020-08-22 |