Healthcare Provider Details

I. General information

NPI: 1063048288
Provider Name (Legal Business Name): BRSI LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 04/09/2020
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 NORTH LOOP W STE 1000
HOUSTON TX
77008-4717
US

IV. Provider business mailing address

1111 NORTH LOOP W STE 1000
HOUSTON TX
77008-4717
US

V. Phone/Fax

Practice location:
  • Phone: 713-880-8791
  • Fax: 713-880-5587
Mailing address:
  • Phone: 713-880-8791
  • Fax: 713-880-5587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code286500000X
TaxonomyMilitary Hospital
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name: MR. JEREMY STURGILL
Title or Position: DIRECTOR OF BUSINESS ANALYSTS
Credential:
Phone: 713-880-8791