Healthcare Provider Details
I. General information
NPI: 1457164162
Provider Name (Legal Business Name): CHAMBERS COUNTY HEALTH AND WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/28/2025
Last Update Date: 02/18/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
102 AIRPORT RD
ANAHUAC TX
77514
US
IV. Provider business mailing address
102 AIRPORT RD
ANAHUAC TX
77514
US
V. Phone/Fax
- Phone: 409-267-2730
- Fax: 409-267-3099
- Phone: 409-267-2730
- Fax: 409-267-3099
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KATELYN
BRIANNE
BRESEE
Title or Position: NP
Credential: NP
Phone: 409-267-2769