Provider Demographics
NPI:1912770041
Name:PROCARE EMERGENCY PHYSICIANS FAIRFIELD PLLC
Entity Type:Organization
Organization Name:PROCARE EMERGENCY PHYSICIANS FAIRFIELD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:PEARSALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-744-9435
Mailing Address - Street 1:1502 BROOKSTONE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1893
Mailing Address - Country:US
Mailing Address - Phone:281-744-9435
Mailing Address - Fax:
Practice Address - Street 1:15103 MASON RD STE E-1
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6755
Practice Address - Country:US
Practice Address - Phone:832-619-7937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty