Brazeal, Justin R.

Brazeal, Justin R. is an individual health care provider with primary practice located at 2803 Earl Rudder Fwy S Suite 103, College Station TX 77845-6099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Brazeal, Justin R. can be contacted via phone (979) 731-8888.

Contact Information

Primary practice address
2803 Earl Rudder Fwy S Suite 103 College Station TX 77845-6099
Phone: (979) 731-8888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X N6826 Texas

Profile Details

NPI number 1437339249
LBN Legal business name Brazeal, Justin R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2007
Last updated Jan 21st, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437339249 NPPES
Texas MEDICAID 307869301
Texas MEDICAID 282074801

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