Healthcare Provider Details

I. General information

NPI: 1699509331
Provider Name (Legal Business Name): CHAMBERS COUNTY SHERIFF'S OFFICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2024
Last Update Date: 08/27/2024
Certification Date: 08/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 N COURT ST
ANAHUAC TX
77514
US

IV. Provider business mailing address

PO BOX 670
ANAHUAC TX
77514-0670
US

V. Phone/Fax

Practice location:
  • Phone: 409-267-2500
  • Fax:
Mailing address:
  • Phone: 409-267-2730
  • Fax: 409-267-3099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KATELYN BRIANNE BRESEE
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 409-267-2730