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

Brazosport Ear, Nose & Throat Clinic, PA

Organization Specialist · NPI 1013998673

Brazosport Ear, Nose & Throat Clinic, PA is a Specialist in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Oak Dr S Ste 207
Lake Jackson, TX 77566-5676
Phone: (979) 297-2477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence F1152 (TX)

Record details

NPI number1013998673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Meyers — President · (979) 297-2477
NPI enumeratedNovember 10, 2005
Last updated in NPPESAugust 22, 2020
Mailing address201 Oak Dr S, Suite 207, Lake Jackson, TX 77566-5676

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