Brazosport Dermatology Clinic Pa

LBN: Brazosport Dermatology Clinic Pa
Brazosport Dermatology Clinic Pa is an health care organization with primary practice located at Brazosport Dermatology Clinic Pa 215 Oak Drive South Ste C, Lake Jackson TX 77566. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Brazosport Dermatology Clinic Pa can be contacted via phone (979) 297-6458, or through Peltier, Frank A via phone (979) 297-6458.

Contact Information

Primary practice address
Brazosport Dermatology Clinic Pa 215 Oak Drive South Ste C Lake Jackson TX 77566
Phone: (979) 297-6458
Fax: (979) 297-0076
Website:
Map and Directions
Authorized official contact:
Name: Peltier, Frank A Doctor of Medicine (MD)
Phone: (979) 297-6458

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X F1894 Texas

Profile Details

NPI number 1457465452
LBN Legal business name Brazosport Dermatology Clinic Pa
DBA Doing business as
Authorized official Peltier, Frank A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2006
Last updated Dec 30th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457465452 NPPES
Texas MEDICAID 035781601

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