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Specialty details in registry · Clute, TX
At a glance
221 Brazosport Blvd N, Clute, TX 77531-3703
NPPES record updated Feb 26, 2026. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
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Insurance participation and appointment availability are not established by these public records.
Practice location
221 Brazosport Blvd NClute, TX 77531-3703
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 332B00000X
- Enumeration date
- Apr 26, 2007
- Record updated
- Feb 26, 2026
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
332B00000X
License reported: 0096638 TX
Specialty details in registry
332B00000X · Primary
Specialty details in registry
372600000X
License reported: 011551 TX
Specialty details in registry
372600000X
License reported: 0096638 TX
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
221 Brazosport Blvd NClute, TX 77531-3703
- Phone
- (979) 480-0197
- Fax
- (979) 480-0332
Mailing address
221 BRAZOSPORT BLVD NCLUTE, TX 775313703
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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