Organization
PEARLAND PRIME PROCEDURE SUITE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT OLSAN (ADMINISTRATOR)
(281) 467-4047
Entity
Organization
Contact information
Practice address
2620 CULLEN BLVD STE 202, PEARLAND, TX 77581-9008
(281) 292-7411
Mailing address
1544 SAWDUST RD STE 280, SPRING, TX 77380-2986
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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