Provider Demographics
NPI:1467432617
Name:PEARSALL, JOEL P (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:P
Last Name:PEARSALL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 BROOKSTONE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1893
Mailing Address - Country:US
Mailing Address - Phone:281-744-9435
Mailing Address - Fax:832-553-7405
Practice Address - Street 1:1502 BROOKSTONE LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1893
Practice Address - Country:US
Practice Address - Phone:281-744-9435
Practice Address - Fax:832-553-7405
Is Sole Proprietor?:No
Enumeration Date:2006-01-21
Last Update Date:2023-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3428207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX930122488OtherRAILROAD MEDICARE PROV #
TX1534166-01Medicaid
TX8G4155OtherBC/BS PROVIDER NUMBER
TX8089B7Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
TX1534166-01Medicaid