Provider Demographics
NPI:1093028573
Name:PGR, INC
Entity Type:Organization
Organization Name:PGR, INC
Other - Org Name:PROPSYCH TESTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-221-9992
Mailing Address - Street 1:9639 HILLCROFT AVENUE
Mailing Address - Street 2:888
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-3805
Mailing Address - Country:US
Mailing Address - Phone:281-221-9992
Mailing Address - Fax:281-884-6004
Practice Address - Street 1:9639 HILLCROFT AVENUE
Practice Address - Street 2:888
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-3805
Practice Address - Country:US
Practice Address - Phone:281-221-9992
Practice Address - Fax:281-884-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty