Provider Demographics
NPI:1699509331
Name:CHAMBERS COUNTY SHERIFF'S OFFICE
Entity type:Organization
Organization Name:CHAMBERS COUNTY SHERIFF'S OFFICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:KATELYN
Authorized Official - Middle Name:BRIANNE
Authorized Official - Last Name:BRESEE
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:409-267-2730
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:ANAHUAC
Mailing Address - State:TX
Mailing Address - Zip Code:77514-0670
Mailing Address - Country:US
Mailing Address - Phone:409-267-2730
Mailing Address - Fax:409-267-3099
Practice Address - Street 1:201 N COURT ST
Practice Address - Street 2:
Practice Address - City:ANAHUAC
Practice Address - State:TX
Practice Address - Zip Code:77514
Practice Address - Country:US
Practice Address - Phone:409-267-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHAMBERS COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty