PEARLAND DIAGNOSTIC CLINIC PA NPI 1194970756

NPI Information

NPI: 1194970756
Provider Name: PEARLAND DIAGNOSTIC CLINIC, PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1834 BROADWAY ST
SUITE 102
PEARLAND, TX
ZIP 77581
Phone: (281) 997-8181
Get Directions

PEARLAND DIAGNOSTIC CLINIC, PA is a primary care clinic center in Pearland, TX. PEARLAND DIAGNOSTIC CLINIC, PA NPI is 1194970756. The provider is registered as an organization entity type.

The provider's business location address is:

1834 BROADWAY ST
SUITE 102
PEARLAND, TX
ZIP 77581-668
Phone: (281) 997-8181
Fax: (281) 997-8184

The provider's authorized official is Joseph H Roosth .
The authorized official title is Owner and has the following contact phone number (281) 997-8181.

The enumeration date for this NPI number is 11/24/2008 and was last updated on 6/19/2012.

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	261QP2300X	Clinic/Center	Primary Care	MDH7345	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
1	E59110	MEDICARE UPIN	TEXAS
2	00K97U	MEDICARE PIN	TEXAS
3	128481204	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »