Individual
DESTINY PEGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 WEST LOOP S STE 200, BELLAIRE, TX 77401-2924
(508) 334-1000
Mailing address
6330 WEST LOOP S STE 200, BELLAIRE, TX 77401-2924
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
281537
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
V8363
TX
Other
Enumeration date
03/31/2017
Last updated
08/11/2025
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