Provider Demographics
NPI:1811009905
Name:PCSC, LLC
Entity Type:Organization
Organization Name:PCSC, LLC
Other - Org Name:HEALTHCARE SURGICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CORY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-807-5535
Mailing Address - Street 1:PO BOX 691827
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77269-1827
Mailing Address - Country:US
Mailing Address - Phone:281-807-5535
Mailing Address - Fax:281-807-1242
Practice Address - Street 1:7831 HIGHLAND ARBOR DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4351
Practice Address - Country:US
Practice Address - Phone:281-807-5535
Practice Address - Fax:281-807-1242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0090596332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies