Provider Demographics
NPI:1396861696
Name:PRIORITY HEALTHCARE PAS
Entity Type:Organization
Organization Name:PRIORITY HEALTHCARE PAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRELA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-538-0248
Mailing Address - Street 1:PO BOX 209
Mailing Address - Street 2:
Mailing Address - City:SEABROOK
Mailing Address - State:TX
Mailing Address - Zip Code:77586-0209
Mailing Address - Country:US
Mailing Address - Phone:281-538-0248
Mailing Address - Fax:281-576-8731
Practice Address - Street 1:811 BRADFORD AVE STE 7A
Practice Address - Street 2:
Practice Address - City:KEMAH
Practice Address - State:TX
Practice Address - Zip Code:77565-2900
Practice Address - Country:US
Practice Address - Phone:281-538-0248
Practice Address - Fax:888-829-0096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2020-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009750251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health