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

Brazosport Regional Physician Services

Organization General Practice Physician · NPI 1861795197

Brazosport Regional Physician Services is a General Practice Physician in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
2

Practice location Address checks out

508 This Way St
Lake Jackson, TX 77566-5128
Phone: (979) 480-9467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X (TX)

Record details

NPI number1861795197
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrazosport Regional Physician Services
Authorized official Daniel Buche — Cheif Executive Officer · (979) 285-1105
Other names Brazosport Regional Urgent Care Center
NPI enumeratedDecember 8, 2010
Last updated in NPPESJanuary 3, 2011
Mailing address100 Medical Dr, Lake Jackson, TX 77566-5674

Other providers in Lake Jackson