BRAZOSPORT HEALTH ALLIANCE

LAKE JACKSON, TX
NPI1942441399
Entity TypeOrganization
Authorized ContactDEBBIE THEVENET
Administrator
979-299-1210
Organization Subpart ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
Enumeration Date2009-03-16
Last Update Date2009-03-16
Business Address
BRAZOSPORT HEALTH ALLIANCE
129 CIRCLE WAY ST SUITE A
LAKE JACKSON, TX 77566-5249
Phone number: 979-299-1210
Mailing Address
BRAZOSPORT HEALTH ALLIANCE
129 CIRCLE WAY ST SUITE A
LAKE JACKSON, TX 77566-5249
Phone number: 979-299-1210
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