Brazosport Radiology Pllc in Lake Jackson - Diagnostic Radiology
Brazosport Radiology Pllc - NPI 1497970669
Brazosport Radiology Pllc is a Diagnostic Radiology in Lake Jackson, Texas. Brazosport Radiology Pllc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brazosport Radiology Pllc is 1497970669. The last update date is 2011-06-15.
Brazosport Radiology Pllc's current location address is 100 Medical Dr, Lake Jackson, Texas. You can contact this provider via phone number 9792851937. The mailing address for Brazosport Radiology Pllc is 100 Medical Dr, Lake Jackson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Brazosport Radiology Pllc |
|---|---|
| Address | 100 Medical Dr, Lake Jackson, Texas |
| Phone Number | 9792851937 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Freedman Craig |
| Credentials | M.D. |
| Telephone Number | 9792851937 |
NPI Number Detail
| NPI Number | 1497970669 |
|---|---|
| Provider Enumeration Date | 2007-04-14 |
| Last Updated Date | 2011-06-15 |
Provider Mailing Address Detail
| Address | 100 Medical Dr |
|---|---|
| City | Lake Jackson |
| State | Texas (TX) |
| Post Code | 775665674 |
| Phone Number | 9792851937 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 196064301 | TX | -- | |
| DO3043 | TX | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brazosport Radiology Pllc by the Centers for Medicare & Medicaid Services?
The Brazosport Radiology Pllc has been issued the NPI (National Provider Identifier) 1497970669, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brazosport Radiology Pllc is geographically located?
The Brazosport Radiology Pllc is physically situated at the following location: 100 Medical Dr, Lake Jackson, TX, 775665674.
What is Brazosport Radiology Pllc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brazosport Radiology Pllc is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did Brazosport Radiology Pllc receive its 1497970669 assignment from the Centers for Medicare & Medicaid Services?
The Brazosport Radiology Pllc was assigned its 1497970669 on 2007-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Brazosport Radiology Pllc's information last updated?
The Brazosport Radiology Pllc's information was last updated on 2011-06-15.