Provider Demographics
NPI:1801180682
Name:PACHECO CONSULTING
Entity Type:Organization
Organization Name:PACHECO CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAKEEM
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEDRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-955-4574
Mailing Address - Street 1:15618 BROOKWOOD LAKE PL
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7143
Mailing Address - Country:US
Mailing Address - Phone:281-933-9718
Mailing Address - Fax:
Practice Address - Street 1:15618 BROOKWOOD LAKE PL
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7143
Practice Address - Country:US
Practice Address - Phone:832-955-4574
Practice Address - Fax:281-933-9718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health