Genesis Health Fitness PLLC
Clinic/Center, Primary Care in Pearland, TX. Organization (NPI-2).
NPI number1992301741
StatusActive
Last updated in NPPESSep 25, 2023
Details
- NPI
- 1992301741
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Health Fitness PLLC
- Organization subpart
- No
- Enumeration date
- Dec 8, 2020
- Certification date
- Sep 25, 2023
- Last updated
- Sep 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
| 261QE0002X | Clinic/Center, Emergency Care | – | – | |
| 207P00000X | Emergency Medicine | – | – |
Practice location
12155 Shadow Creek Pkwy Ste 114Pearland, TX 77584-7289
Phone 832-263-7490 · Fax 888-977-1299
Mailing address
12155 Shadow Creek Pkwy Ste 114Pearland, TX 77584-7289
Phone 832-263-7490 · Fax 888-977-1299
Authorized official
Roger Olade
Owner
8322637490
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