Provider Demographics
NPI:1306985213
Name:BRAZORIA COUNTY HEALTH DEPARTMENT
Entity type:Organization
Organization Name:BRAZORIA COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:SBRUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-864-1484
Mailing Address - Street 1:432 E. MULBERRY
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515
Mailing Address - Country:US
Mailing Address - Phone:979-864-1484
Mailing Address - Fax:979-864-1456
Practice Address - Street 1:432 E MULBERRY ST
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-4736
Practice Address - Country:US
Practice Address - Phone:979-864-1484
Practice Address - Fax:979-864-1456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC9094251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0919730-01Medicaid