Provider Demographics
NPI:1790841369
Name:PERSTAT MEDICAL SYSTEMS, INC.
Entity Type:Organization
Organization Name:PERSTAT MEDICAL SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MILTON
Authorized Official - Last Name:PARRISH
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD, CCP
Authorized Official - Phone:281-480-7965
Mailing Address - Street 1:11514 ORCHARD MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-5584
Mailing Address - Country:US
Mailing Address - Phone:281-480-7965
Mailing Address - Fax:281-486-2691
Practice Address - Street 1:11514 ORCHARD MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77059-5584
Practice Address - Country:US
Practice Address - Phone:281-480-7965
Practice Address - Fax:281-486-2691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPF0078246Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty