Provider Demographics
NPI:1982637690
Name:BRENHAM ORHOPAEDICS AND SPORTS MEDICINE ASSOCIATES, LLP
Entity Type:Organization
Organization Name:BRENHAM ORHOPAEDICS AND SPORTS MEDICINE ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-251-8005
Mailing Address - Street 1:605 MEDICAL CT
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BRENHAM
Mailing Address - State:TX
Mailing Address - Zip Code:77833-5404
Mailing Address - Country:US
Mailing Address - Phone:979-251-8005
Mailing Address - Fax:979-251-7891
Practice Address - Street 1:605 MEDICAL CT
Practice Address - Street 2:SUITE 103
Practice Address - City:BRENHAM
Practice Address - State:TX
Practice Address - Zip Code:77833-5404
Practice Address - Country:US
Practice Address - Phone:979-251-8005
Practice Address - Fax:979-251-7891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDA9965OtherPALMETTO GBA-RAILROAD
TX00981VMedicare ID - Type Unspecified