Organization · NPI-2
Pearland Ent PA
Otolaryngology · Pearland, TX
NPI number1174708564
StatusActive
Last updated in NPPESJan 28, 2019
Details
- NPI
- 1174708564
- Entity type
- Organization (NPI-2)
- Legal business name
- Pearland Ent PA
- Organization subpart
- No
- Enumeration date
- Jan 3, 2008
- Last updated
- Jan 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Practice location
2225 County Road 90 Ste 123Pearland, TX 77584-4891
Phone 281-412-6100 · Fax 281-412-2423
Mailing address
2225 County Road 90Suite 123
Pearland, TX 77584-4890
Phone 281-412-6100 · Fax 281-412-2423
Authorized official
Omid Abbassi
Authorized Official
2814126100
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