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

Brazosport Womens Health PA

Organization Gynecology Physician · NPI 1407163116

Brazosport Womens Health PA is a Gynecology Physician in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

506 This Way St
Lake Jackson, TX 77566-5128
Phone: (979) 266-9544
Fax: (979) 529-9737
Show map & directions

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

Specialties & licences

Gynecology Physician (primary) Taxonomy 207VG0400X · Licence N4502 (TX)

Record details

NPI number1407163116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samatha Kadiyala — Physician - Owner · (979) 266-9544
NPI enumeratedSeptember 2, 2010
Last updated in NPPESJune 6, 2016
Mailing address215 Oak Drive South, Suite B, Lake Jackson, TX 77566-5617