BRAZOSPORT WOMENS HEALTH PA (NPI# 1407163116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407163116 |
| Entity Type | Organization |
| Organization Name | BRAZOSPORT WOMENS HEALTH PA |
| Practice Address |
506 This Way St Lake Jackson TX 77566-5128 |
| Mailing Address |
215 Oak Drive South Suite B Lake Jackson TX 77566-5617 |
| Practice Telephone | 9792669544 |
| Practice Fax Number | 9795299737 |
| Mailing Telephone | 9792669544 |
| Mailing Fax Number | 9795299737 |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2016-06-06 |
| Authorized Official Name | DR. SAMATHA KADIYALA (PHYSICIAN - OWNER) |
| Authorized Official Telephone | 9792669544 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
N4502 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
506 THIS WAY ST |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003002627 | Samatha Krishna Kadiyala | Obstetrics & Gynecology | 506 This Way St, Lake Jackson, TX 77566-5128 | 2007-09-18 |
| 1548555329 | Foot Doctors of Texas LLC | Podiatrist | 506 This Way St, Lake Jackson, TX 77566-5128 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129458 | Bloom Gynecology LLC | Obstetrics & Gynecology | 3540 E Broad St # 262, Mansfield, TX 76063-5633 | 2020-09-21 |
| 1861003170 | North Texas Cosmetic Surgery, LLC | Obstetrics & Gynecology | 4401 Coit Rd Ste 205, Frisco, TX 75035-0504 | 2020-08-11 |
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1851745459 | Holly Eliason | Obstetrics & Gynecology | 4085 Ohio Dr Ste 100, Frisco, TX 75035-6245 | 2016-04-20 |
| 1861807968 | Ruby L Holloway, M.d.p.a | Obstetrics & Gynecology | 710 S 8th St Ste B, Beaumont, TX 77701-4634 | 2014-06-26 |
| 1851731319 | Annabelle Lopez M.d., P.a. | Obstetrics & Gynecology | 913 S Airport Dr Ste 201, Weslaco, TX 78596-6629 | 2013-06-28 |
| 1679815286 | Andrew Gene Dillard | Obstetrics & Gynecology | 1717 Weiskopf Dr, Heath, TX 75032-7749 | 2013-03-21 |
| 1689916553 | Peter K Thompson | Obstetrics & Gynecology | 307 Fall River Ct, Houston, TX 77024-5611 | 2013-03-19 |
| 1003158916 | Robert J Morrow | Obstetrics & Gynecology | 2202 Running Springs Dr, Kingwood, TX 77339-3125 | 2013-03-19 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
Please comment or provide details below to improve the information on BRAZOSPORT WOMENS HEALTH PA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.