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  • 747036
CCN: 747036 NPI: 1295934388 Organization

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2407 S PARK AVE
PEARLAND, TX 775814233

Contact Information

  • Phone 8323280179
  • Fax 8322187179
  • Enumeration Date 2007-07-17
  • Last Updated 2022-12-07

Taxonomies

  • Code: 251E00000X
  • Code: 251E00000X (Primary) License State: TX License: 011217

Inpatient Payment Attributes (IPSF) View Dictionary →

censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36
censusDivision 7
cbsaActualGeographicLocation 26420
providerType 36

Outpatient Payment Attributes (OPSF) View Dictionary →

cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
specialPaymentIndicator
carrierCode 04412
localityCode 18
cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
specialPaymentIndicator
carrierCode 04412
localityCode 18
cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
carrierCode 04412
localityCode 18
cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
specialPaymentIndicator
carrierCode 04412
localityCode 18
cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
specialPaymentIndicator
carrierCode 04412
localityCode 18
cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
specialPaymentIndicator
carrierCode 04412
localityCode 18
cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
specialPaymentIndicator
carrierCode 04412
localityCode 18
cbsaActualGeographicLocation 26420
providerType 36
operatingCostToChargeRatio 0.9
specialPaymentIndicator
carrierCode 04412
localityCode 18

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