# CRENSHAW OCCUPATIONAL PRACTICE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PCP ASSOCIATES OF PASADENA PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1932769825
- **Legal business name:** PCP ASSOCIATES OF PASADENA PA
- **Authorized official:** DR. DEEPAK PATTANAIK MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (281) 487-0807

## Contact information

- **Practice address:** 5030 CRENSHAW RD STE 124, PASADENA, TX 77505-3141
- **Practice address phone:** (281) 487-0807
- **Practice address fax:** (281) 487-0806
- **Mailing address:** 5030 CRENSHAW RD STE 124, PASADENA, TX 77505-3141
- **Mailing address phone:** (281) 487-0807
- **Mailing address fax:** (281) 487-0806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/13/2019
- **Last updated:** 06/13/2019