Provider Demographics
NPI:1518734607
Name:PEARLAND RHEUMATOLOGY AND ARTHRITIS CENTER
Entity Type:Organization
Organization Name:PEARLAND RHEUMATOLOGY AND ARTHRITIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EHIZOGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDIGIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:872-817-0144
Mailing Address - Street 1:12812 HEDDINGTON GROVE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-2230
Mailing Address - Country:US
Mailing Address - Phone:872-817-0144
Mailing Address - Fax:
Practice Address - Street 1:5373 W ALABAMA ST STE 204
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5923
Practice Address - Country:US
Practice Address - Phone:872-817-0144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology