Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brazosport Regional Physician Services

Organization General Practice Physician · NPI 1861795197

Brazosport Regional Physician Services provides General Practice Physician services in Lake Jackson, Texas. Licensed in Texas. Registered with an NPI since 2010.

Licensed in
TX
In the registry since
2010
Specialties on file
2

Practice location Address checks out

508 This Way St
Lake Jackson, TX 77566-5128 Not confirmed with CMS for 15 years — call before visiting
Phone: (979) 480-9467
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X (TX)

Record details

NPI number1861795197
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrazosport Regional Physician Services
Authorized official Daniel Buche — Cheif Executive Officer · (979) 285-1105
Other names Brazosport Regional Urgent Care Center
NPI enumeratedDecember 8, 2010
Last updated in NPPESJanuary 3, 2011
Mailing address100 Medical Dr, Lake Jackson, TX 77566-5674

Other providers in Lake Jackson