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52 Flag Lake Plz Lake Jackson TX 77566-6263 | |
| (713) 864-6694 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 52 Flag Lake Plz, Lake Jackson, Texas |
| Authorized Official Name and Position | Matthew N Brams (OWNER) |
| Authorized Official Contact | 7138646694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
52 Flag Lake Plz Lake Jackson TX 77566-6263 Ph: (713) 864-6694 | 52 Flag Lake Plz Lake Jackson TX 77566-6263 Ph: (713) 864-6694 |
| NPI Number | 1295031979 |
|---|---|
| Provider Enumeration Date | 01/28/2011 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295031979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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