| Pearl Healthcare, Llc | |
|
3733 Westheimer Rd Ste 1-559 Houston TX 77027-5271 | |
| (713) 955-7374 | |
| (702) 537-0985 |
| Full Name | Pearl Healthcare, Llc |
|---|---|
| Speciality | Nurse Practitioner - Gerontology |
| Location | 3733 Westheimer Rd Ste 1-559, Houston, Texas |
| Authorized Official Name and Position | Alero Obianyor Waterhouse (DIRECTOR) |
| Authorized Official Contact | 8327221618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Healthcare, Llc 3733 Westheimer Rd Ste 1-559 Houston TX 77027-5271 Ph: (713) 955-7374 | Pearl Healthcare, Llc 3733 Westheimer Rd Ste 1-559 Houston TX 77027-5271 Ph: (713) 955-7374 |
| NPI Number | 1992291462 |
|---|---|
| Provider Enumeration Date | 07/07/2018 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992291462 | NPI | - | NPPES |
| 3919383 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | AP118306 (Texas) | Primary |
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