Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brazosport Dermatology Clinic PA

Organization Dermatology Physician · NPI 1457465452

Brazosport Dermatology Clinic PA is a Dermatology Physician in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Partly verified

Some contact details are missing from the federal record.

Brazosport Dermatology Clinic Pa 215 Oak Dr S Ste C
Lake Jackson, TX 77566
Phone: (979) 297-6458
Fax: (979) 297-0076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence F1894 (TX)

Record details

NPI number1457465452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Peltier — President · (979) 297-6458
NPI enumeratedAugust 18, 2006
Last updated in NPPESDecember 30, 2010
Mailing address215 Oak Dr S, Ste C, Lake Jackson, TX 77566-5617

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