Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Brazosport Dermatology Clinic PA

Organization Dermatology Physician · NPI 1457465452

Brazosport Dermatology Clinic PA provides Dermatology Physician services in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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 Partly verified

Some contact details are missing from the federal record.

Brazosport Dermatology Clinic Pa 215 Oak Dr S Ste C
Lake Jackson, TX 77566 Not confirmed with CMS for 15 years — call before visiting
Phone: (979) 297-6458
Fax: (979) 297-0076
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence F1894 (TX)

Record details

NPI number1457465452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Peltier — President · (979) 297-6458
NPI enumeratedAugust 18, 2006
Last updated in NPPESDecember 30, 2010
Mailing address215 Oak Dr S, Ste C, Lake Jackson, TX 77566-5617

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