Premier PM PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

717330 Issued in TX

Legal business name

PREMIER PM PA

Practice address

2018 Broadway St
Pearland, TX 77581-5502

Phone

(281) 485-2955

NPI assigned

Apr 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerry Parsons

Title

Director of Operations

Phone

(281) 485-2955

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1013304096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815502",
            "telephone_number": "281-485-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 BROADWAY ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815502",
            "telephone_number": "281-485-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PM PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "281-485-2955"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "717330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Maureen Prestel, COTA/L
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• Courtney Marie Preston, MD

• Family Nurse Practitioner in Pearland, TX
• Providers in Pearland, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.