PEARL HEALTHCARE LLC NPI 1992291462

NPI Information

NPI: 1992291462
Provider Name: PEARL HEALTHCARE, LLC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Organization

Specialization: Gerontology

Address:
3733 WESTHEIMER RD STE 1-559
HOUSTON, TX
ZIP 77027
Phone: (713) 955-7374
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PEARL HEALTHCARE, LLC is a gerontology nurse practitioner in Houston, TX. PEARL HEALTHCARE, LLC NPI is 1992291462. The provider is registered as an organization entity type.

The provider's business location address is:

3733 WESTHEIMER RD STE 1-559
HOUSTON, TX
ZIP 77027-271
Phone: (713) 955-7374
Fax: (702) 537-0985

The provider's authorized official is Alero Obianyor Waterhouse .
The authorized official title is Director and has the following contact phone number (832) 722-1618.

The enumeration date for this NPI number is 7/7/2018 and was last updated on 3/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261Q00000X	Clinic/Center				No
2	363LG0600X	Nurse Practitioner	Gerontology	AP118306	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3919383	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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