Provider Demographics
NPI:1639853443
Name:PROCARE PEARLAND LLC
Entity Type:Organization
Organization Name:PROCARE PEARLAND LLC
Other - Org Name:TEXAS EMERGENCY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-436-8100
Mailing Address - Street 1:3115 DIXIE FARM RD STE 107
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5923
Mailing Address - Country:US
Mailing Address - Phone:281-371-8625
Mailing Address - Fax:281-648-8663
Practice Address - Street 1:3115 DIXIE FARM RD STE 107
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-5923
Practice Address - Country:US
Practice Address - Phone:281-371-8625
Practice Address - Fax:281-648-8663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care