Brazosport Regional Family Medicine Center | |
1525 North Brooks Dr Brazoria TX 77422 | |
(979) 798-2747 | |
Not Available |
Full Name | Brazosport Regional Family Medicine Center |
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Speciality | Family Medicine |
Location | 1525 North Brooks Dr, Brazoria, Texas |
Authorized Official Name and Position | Al Guevara (CEO) |
Authorized Official Contact | 9792851105 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Brazosport Regional Family Medicine Center 100 Medical Dr Lake Jackson TX 77566-5674 Ph: (979) 297-4411 | Brazosport Regional Family Medicine Center 1525 North Brooks Dr Brazoria TX 77422 Ph: (979) 798-2747 |
NPI Number | 1588982987 |
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Provider Enumeration Date | 05/10/2010 |
Last Update Date | 03/18/2014 |
Medicare PECOS PAC ID | 9830375815 |
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Medicare Enrollment ID | O20110510000309 |
Identifier | Type | State | Issuer |
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1588982987 | NPI | - | NPPES |
Provider Name | Gladys C Tello |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841220019 PECOS PAC ID: 6507890233 Enrollment ID: I20050922000437 |
Provider Name | Roland Prezas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326044777 PECOS PAC ID: 0648172072 Enrollment ID: I20070402000111 |
Provider Name | Jeevan C Gowda |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881862027 PECOS PAC ID: 2264590082 Enrollment ID: I20090910000531 |
Provider Name | Scott Loren Harris |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1992704258 PECOS PAC ID: 4486843349 Enrollment ID: I20110106001199 |
Provider Name | Debra K Crook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871791012 PECOS PAC ID: 1850577784 Enrollment ID: I20110510000864 |
Provider Name | Srijaya Bandi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295907525 PECOS PAC ID: 2365615168 Enrollment ID: I20111021000393 |
Provider Name | Jaswinder Chadda |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912280124 PECOS PAC ID: 0244467207 Enrollment ID: I20131218001558 |
Provider Name | Charles E Vega |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1669664504 PECOS PAC ID: 7618104613 Enrollment ID: I20131219001122 |
Provider Name | Ted A Kovacev |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1568614402 PECOS PAC ID: 7214199587 Enrollment ID: I20141112000665 |
Provider Name | Na Vang |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518399344 PECOS PAC ID: 6002138021 Enrollment ID: I20141202002187 |
Provider Name | Shirley D Lima |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1740591858 PECOS PAC ID: 4486954021 Enrollment ID: I20151203001431 |
Provider Name | Mitesh Mahesh Patel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134562598 PECOS PAC ID: 0648576595 Enrollment ID: I20170105000428 |