Organization · Type 2 NPI
Brazosport Cardiology, P.a.
Cardiovascular Disease Physician · Lake Jackson, TX
NPI number
1780753624
Active
Practice location
194 Abner Jackson Pkwy
Lake Jackson, TX 77566-5692
Fax (979) 297-1924
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician Primary | 207RC0000X | G3437 (TX) |
| Cardiovascular Disease Physician | 207RC0000X | H7694 (TX) |
| Cardiovascular Disease Physician | 207RC0000X | K8835 (TX) |
Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Another provider at this address
About NPI 1780753624
Brazosport Cardiology, P.a.'s National Provider Identifier is 1780753624, issued on Nov 7, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Lake Jackson, TX. The record was last updated on Oct 20, 2026.