Brazosport Psychiatric Clinic
Psychiatry & Neurology, Psychiatry in Lake Jackson, TX. Organization (NPI-2).
NPI number1295031979
StatusActive
Last updated in NPPESJan 28, 2011
Details
- NPI
- 1295031979
- Entity type
- Organization (NPI-2)
- Legal business name
- Brazosport Psychiatric Clinic
- Organization subpart
- Yes
- Enumeration date
- Jan 28, 2011
- Last updated
- Jan 28, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
Other names
- Matthew Brams MD Alice Mao MD (Doing Business As)
Practice location
52 Flag Lake PlzLake Jackson, TX 77566-6263
Phone 713-864-6694
Mailing address
52 Flag Lake PlzLake Jackson, TX 77566-6263
Phone 713-864-6694
Authorized official
Matthew N Brams
Owner
7138646694
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