Brazos Healthcare Partners, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

D1489 Issued in TX

Legal business name

BRAZOS HEALTHCARE PARTNERS, LLC

Practice address

208 Chama Dr
Hewitt, TX 76643-3368

Phone

(254) 772-8248

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Lisa Rahimi

Title

Office Manager

Phone

(254) 870-1991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1750752028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 CHAMA DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CHAMA DR",
            "city": "HEWITT",
            "state": "TX",
            "postal_code": "766433368",
            "telephone_number": "254-772-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS HEALTHCARE PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-870-1991"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "D1489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Michael Athey
• Julian Omar Ayala Morales, D.C.
• A. Alexander Beaujean, PHD
• Nicholas Frank Benson, PHD
• Karen Denise Bostick, M.ED., L.P.C.
• Brazos Mobile Imaging,Inc.
• Courtney Broaddus, M.S.
• Toni L Brooker
• Heather Nicole Brown, SLP
• Selena Byman

• Neurological Surgery Physician in Hewitt, TX
• Providers in Hewitt, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.