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NPI Code Detail

MEDICARE: BRAZOS MEDICAL CENTER

MEDICARE: BRAZOS MEDICAL CENTER
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1811453293
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAZOS MEDICAL CENTER
Provider Business Mailing Address
First Line : 6306 FAIRBANKS N HOUSTON RD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77040-5193
Country : US
Telephone Number : 832-900-2681
Fax Number :
Provider Business Practice Location Address
First Line : 6306 FAIRBANKS N HOUSTON RD STE 500
Second Line :
City : HOUSTON
State : TX
Zip : 77040-5193
Country : US
Telephone Number : 713-234-6846
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : CHINWENWA OTINWA
Credential :
Telephone Number : 832-900-2681
Provider Enumeration Date : 02/11/2019
Last Update Date : 04/10/2020

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Directions to “BRAZOS MEDICAL CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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