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

Brazosport Ear, Nose & Throat Clinic, PA

Organization Specialist · NPI 1013998673

Brazosport Ear, Nose & Throat Clinic, PA provides Specialist services in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 Oak Dr S Ste 207
Lake Jackson, TX 77566-5676
Phone: (979) 297-2477
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence F1152 (TX)

Record details

NPI number1013998673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Meyers — President · (979) 297-2477
NPI enumeratedNovember 10, 2005
Last updated in NPPESAugust 22, 2020
Mailing address201 Oak Dr S, Suite 207, Lake Jackson, TX 77566-5676

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