Organization
PURSUIT OF HOPE OTP GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FENORRIS PEARSON (AUTHORIZED OFFICIAL)
(979) 849-1747
Entity
Organization
Contact information
Practice address
2620 CULLEN PKWY STE 216, PEARLAND, TX 77581-9008
(832) 780-3960
Mailing address
2620 CULLEN PKWY STE 216, PEARLAND, TX 77581-9008
(832) 780-3960
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QM2800X
Methadone Clinic
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432155601
—
TX
Enumeration date
06/19/2017
Last updated
03/02/2022
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