Organization Active NPI

Pearland Professional Group P.a.

  • Internal Medicine Physician
  • Pearland, TX
National Provider Identifier
1508042805
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PEARLAND PROFESSIONAL GROUP P.A.
Practice address
2425 County Road 90
Pearland, TX 77584-4883
Phone
(281) 997-7333
Fax
(281) 485-1146
NPI assigned
Jan 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Nam N Hoang, M.D.
Title
Owner
Phone
(281) 997-7333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

2425 County Road 90
Pearland, TX 77584-4883

Mailing address

2425 County Road 90
Pearland, TX 77584-4883
Phone (281) 997-7333

Other identifiers 1

IdentifierTypeStateIssuer
127061301MedicaidTX

National Provider Directory

National Provider Directory

Locations

2425 County Road 90
Pearland, TX 77584
Phone (281) 997-7333

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1508042805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 COUNTY ROAD 90",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844883",
            "telephone_number": "281-997-7333",
            "fax_number": "281-485-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 COUNTY ROAD 90",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844883",
            "telephone_number": "281-997-7333",
            "fax_number": "281-485-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND PROFESSIONAL GROUP P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "NAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-997-7333",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127061301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.