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1497970669
BRAZOSPORT RADIOLOGY PLLC
LAKE JACKSON, TX
NPI
1497970669
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Entity Type
Organization
Authorized Contact
CRAIG FREEDMAN
President
979-285-1937
Organization Subpart ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
Enumeration Date
2007-04-14
Last Update Date
2011-06-15
Business Address
BRAZOSPORT RADIOLOGY PLLC
100 MEDICAL DR
LAKE JACKSON, TX 77566-5674
Phone number: 979-285-1937
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Mailing Address
BRAZOSPORT RADIOLOGY PLLC
PO BOX 1547
SEDALIA, MO 65302-1547
Phone number: 660-826-5960
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