Organization
BRAZORIA KIDNEY CENTER, INC.
Active
Organization
BRAZORIA KIDNEY CENTER, INC.
Active
Other names
BRAZORIA KIDNEY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MARK FAWCETT (TREASURER)
(781) 402-9000
Entity
Organization
Contact information
Practice address
405 THIS WAY ST, SUITE 3, LAKE JACKSON, TX 77566-5140
(979) 299-1936
Mailing address
405 THIS WAY ST, SUITE 3, LAKE JACKSON, TX 77566-5140
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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