Provider Demographics
NPI:1508200957
Name:PEARSON, DEBBIE (CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:PEARSON
Suffix:
Gender:F
Credentials:CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6511 LADERA NORTE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2658
Mailing Address - Country:US
Mailing Address - Phone:512-338-4533
Mailing Address - Fax:512-338-4471
Practice Address - Street 1:6511 LADERA NORTE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-2658
Practice Address - Country:US
Practice Address - Phone:512-338-4533
Practice Address - Fax:512-338-4471
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-28
Last Update Date:2013-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX243619163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse