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General NPI Number Information
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NPI Number | 1942255401
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Entity Type | Organization
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Legal Business Name | BRAZORIA COUNTY SURGERY CENTER, LLC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 2760 BRAZOS PARKWAY
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City | ANGLETON
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State | TX
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Zip | 77515
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Country | US
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Telephone | 979-848-5900
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Fax | 979-848-5999
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Provider Business Mailing Address
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Address Line | 2760 BRAZOS PARKWAY
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City | ANGLETON
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State | TX
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Zip | 77515
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Country | US
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Telephone | 979-848-5900
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Fax | 979-848-5999
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Authorized Official
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Title or Position | MANAGING OFFICER
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Name | MARK QUIGLEY
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Credential |
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Telephone | 979-848-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 8359
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License Number State | TX
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