Pearland Diagnostic Clinic, Pa

LBN: Pearland Diagnostic Clinic, Pa
Pearland Diagnostic Clinic, Pa is an health care organization with primary practice located at 1834 Broadway St Suite 102, Pearland TX 77581-5668. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pearland Diagnostic Clinic, Pa can be contacted via phone (281) 997-8181, or through Roosth, Joseph H via phone (281) 997-8181.

Contact Information

Primary practice address
1834 Broadway St Suite 102 Pearland TX 77581-5668
Phone: (281) 997-8181
Fax: (281) 997-8184
Website:
Map and Directions
Authorized official contact:
Name: Roosth, Joseph H Doctor of Medicine (MD)
Phone: (281) 997-8181

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X MDH7345 Texas

Profile Details

NPI number 1194970756
LBN Legal business name Pearland Diagnostic Clinic, Pa
DBA Doing business as
Authorized official Roosth, Joseph H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2008
Last updated Jun 19th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194970756 NPPES
Texas MEDICAID 128481204

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