Organization
BRAZOSPORT EAR, NOSE & THROAT CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE PAUL MEYERS MD (PRESIDENT)
(979) 297-2477
Entity
Organization
Contact information
Practice address
201 OAK DR S, SUITE 207, LAKE JACKSON, TX 77566-5676
(979) 297-2477
Mailing address
201 OAK DR S, SUITE 207, LAKE JACKSON, TX 77566-5676
(979) 297-2477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F1152
TX
Other
Enumeration date
11/10/2005
Last updated
08/22/2020
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