Organization
LONGEVITY CENTRE OF HOUSTON, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GURNEY FIELDS PEARSALL JR. M.D. (OWNER)
(713) 522-4037
Entity
Organization
Contact information
Practice address
2951 CHIMNEY ROCK RD, SUITE A, HOUSTON, TX 77056-5937
(713) 522-4037
(713) 820-9244
Mailing address
5644 WESTHEIMER RD, PMB 109, HOUSTON, TX 77056-4002
(713) 522-4037
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K6903
TX
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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