Provider Demographics
NPI:1356615595
Name:PRISTINE HEALTHCARE LLC
Entity type:Organization
Organization Name:PRISTINE HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:POSTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:281-487-7738
Mailing Address - Street 1:2121 WILLIAMS TRACE BLVD
Mailing Address - Street 2:STE C
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4526
Mailing Address - Country:US
Mailing Address - Phone:281-634-7800
Mailing Address - Fax:
Practice Address - Street 1:1004 SEYMOUR ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-2637
Practice Address - Country:US
Practice Address - Phone:832-581-3275
Practice Address - Fax:832-623-6950
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital