| Pursuit Of Hope Otp Group | |
|
2620 Cullen Pkwy Ste 216 Pearland TX 77581-9008 | |
| (832) 780-3960 | |
| Not Available |
| Full Name | Pursuit Of Hope Otp Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2620 Cullen Pkwy Ste 216, Pearland, Texas |
| Authorized Official Name and Position | Fenorris Pearson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 9798491747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pursuit Of Hope Otp Group 2620 Cullen Pkwy Ste 216 Pearland TX 77581-9008 Ph: (832) 780-3960 | Pursuit Of Hope Otp Group 2620 Cullen Pkwy Ste 216 Pearland TX 77581-9008 Ph: (832) 780-3960 |
| NPI Number | 1114457371 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 03/02/2022 |
| Medicare PECOS PAC ID | 5597001206 |
|---|---|
| Medicare Enrollment ID | O20190116001946 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114457371 | NPI | - | NPPES |
| 432155601 | Medicaid | TX |
| Provider Name | Paula L Bryant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982632709 PECOS PAC ID: 4082609987 Enrollment ID: I20040419001670 |
| Provider Name | Flavia Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609934868 PECOS PAC ID: 7911167242 Enrollment ID: I20120323000594 |
| Provider Name | John Mohney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134304058 PECOS PAC ID: 1254650294 Enrollment ID: I20150424001608 |
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