# MEMORIAL HERMANN SURGERY CENTER BRAZORIA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679065759
- **Authorized official:** PETER BLACH (OFFICER/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (713) 343-0832

## Contact information

- **Practice address:** 2760 BRAZOS PKWY, ANGLETON, TX 77515-7048
- **Practice address phone:** (979) 848-5900
- **Mailing address:** 2760 BRAZOS PKWY, ANGLETON, TX 77515-7048
- **Mailing address phone:** (979) 848-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2018
- **Last updated:** 10/11/2024