Organization
BRAZOS TECH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN HUISMAN (OWNER)
(979) 798-9103
Entity
Organization
Contact information
Practice address
324 NORTH BROOKS, BRAZORIA, TX 77422
(979) 798-9103
(979) 798-9109
Mailing address
PO BOX 1235, BRAZORIA, TX 77422-1235
(979) 798-9103
(979) 798-9109
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10723
TX
133N00000X
Nutritionist
—
—
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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