Organization
BRAZOSPORT REGIONAL PHYSICIAN SERVICES
Active
Parent organization
THE COMMUNITY HOSPITAL OF BRAZOSPORT
Other names
BRAZOSPORT REGIONAL FAMILY MEDICINE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE COMMUNITY HOSPITAL OF BRAZOSPORT
Authorized official
AL GUEVARA JR. FACHE (CEO)
(979) 285-1105
Entity
Organization
Contact information
Practice address
1525 NORTH BROOKS DR, BRAZORIA, TX 77422
(979) 798-2747
Mailing address
100 MEDICAL DR, LAKE JACKSON, TX 77566-5674
(979) 297-4411
(979) 285-1730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/10/2010
Last updated
03/18/2014
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