Provider Demographics
NPI:1568155885
Name:BORUSAN PIPE U.S. INC.
Entity Type:Organization
Organization Name:BORUSAN PIPE U.S. INC.
Other - Org Name:BORUSAN MANNESMANN PIPE U.S. INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BREANA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:281-918-0771
Mailing Address - Street 1:4949 BORUSAN RD
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77523-3700
Mailing Address - Country:US
Mailing Address - Phone:281-918-0771
Mailing Address - Fax:
Practice Address - Street 1:4949 BORUSAN RD
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77523-3700
Practice Address - Country:US
Practice Address - Phone:281-918-0771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-01
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine