Brazos Tech Management

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10723 Issued in TX

Legal business name

BRAZOS TECH MANAGEMENT

Practice address

324 North Brooks
Brazoria, TX 77422

Phone

(979) 798-9103

Fax

(979) 798-9109

NPI assigned

Aug 28, 2007

Last updated

Aug 28, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn Huisman

Title

Owner

Phone

(979) 798-9103

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1679767248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1235",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774221235",
            "telephone_number": "979-798-9103",
            "fax_number": "979-798-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 NORTH BROOKS",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "77422",
            "telephone_number": "979-798-9103",
            "fax_number": "979-798-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS TECH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "HUISMAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-798-9103"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "10723",
            "primary": true
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannifer Arnold
• John Raymond Barnhart Jr., LPC
• Amanda Barrie
• BPM Associates
• BPM Associates LLC
• Brazosport Regional Physician Services (Brazosport Regional Family Medicine Center)
• Courtney Renee Brooks, LVN
• Lisa Michelle Brunner, PHYSICAL THERAPIST
• Felicia Nichole Chretien, FNP-BC
• Virginia Frankum

• General Practice Dentistry in Brazoria, TX
• Providers in Brazoria, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.