Provider Demographics
NPI:1861230708
Name:PEARLAND RECOVERY AND CONSULTING INC
Entity type:Organization
Organization Name:PEARLAND RECOVERY AND CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SOWDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-859-3339
Mailing Address - Street 1:PO BOX 710148
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77271-0148
Mailing Address - Country:US
Mailing Address - Phone:832-859-3339
Mailing Address - Fax:
Practice Address - Street 1:8619 BROADWAY ST STE 201
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-8496
Practice Address - Country:US
Practice Address - Phone:832-859-3339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty