Pacific West Services

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

PACIFIC WEST SERVICES

Practice address

4434 Bluebonnet Dr Ste 145
Stafford, TX 77477-2904

Phone

(832) 647-2859

Fax

(281) 277-0411

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Barbara A Nabors

Title

Program Service Director

Phone

(832) 647-2859

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1376872978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16634 TRANQUIL DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774981983",
            "telephone_number": "832-647-2859",
            "fax_number": "281-277-0411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4434 BLUEBONNET DR STE 145",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774772904",
            "telephone_number": "832-647-2859",
            "fax_number": "281-277-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC WEST SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "NABORS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PROGRAM SERVICE DIRECTOR",
        "authorized_official_telephone_number": "832-647-2859"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "0311434",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Stafford, TX
• Providers in Stafford, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.