Organization
BRAZOSPORT CARDIOLOGY, P.A.
Active
Other names
Pearland Heart Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT L HARRIS MD (PRESIDENT)
(979) 297-5481
Entity
Organization
Contact information
Practice address
215 OAK DR S STE L, LAKE JACKSON, TX 77566-5618
(979) 297-5481
(979) 297-1924
Mailing address
215 OAK DR S STE L, LAKE JACKSON, TX 77566-5618
(979) 297-5481
(979) 297-1924
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G3437
TX
207RC0000X
Cardiovascular Disease Physician
H7694
TX
207RC0000X
Cardiovascular Disease Physician
K8835
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00L13B
PTAN
TX
Enumeration date
11/07/2006
Last updated
12/03/2012
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