MEDICARE: BRAZOS ORTHOPAEDICS LLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1891707220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAZOS ORTHOPAEDICS LLP

Provider Business Mailing Address
First Line	:	12121 RICHMOND AVE STE 425
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2457
Country	:	US
Telephone Number	:	281-558-0722
Fax Number	:

Provider Business Practice Location Address
First Line	:	12121 RICHMOND AVE STE 425
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77082-2457
Country	:	US
Telephone Number	:	281-558-0722
Fax Number	:

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. RONALD L FRASER
Credential	:	MD
Telephone Number	:	281-558-0722

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	06/21/2010

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