Individual
DR. GURNEY FIELDS PEARSALL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,F.A.A.P.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D3518
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121514701
—
TX
05
—
121514702
—
TX
05
—
121514703
—
TX
05
—
121514705
—
TX
05
—
145015701
—
TX
01
—
25284
AMERIGROUP
TX
01
—
84Z311
BLU CROSS & BLUE SHEILD
TX
Enumeration date
12/01/2006
Last updated
09/16/2024
Update your record
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