Pearland Prime Procedure Suite LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PEARLAND PRIME PROCEDURE SUITE LLC

Practice address

2620 Cullen Blvd Ste 202
Pearland, TX 77581-9008

Phone

(281) 292-7411

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Kent Olsan

Title

Administrator

Phone

(281) 467-4047

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536624000000",
    "number": "1639652175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 SAWDUST RD STE 280",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773802986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CULLEN BLVD STE 202",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819008",
            "telephone_number": "281-292-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLAND PRIME PROCEDURE SUITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A",
        "authorized_official_last_name": "OLSAN",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-467-4047"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearland Pediatric Urgent Care PA
• Pearland Pediatrics
• Pearland Place
• Pearland Premier Surgery Center, LTD
• Pearland Primary Care Associates, LLP
• Pearland Professional Group P.a.
• Pearland Professional Vision PLLC
• Pearland Psychiatry, PA
• Pearland Recovery and Consulting Inc
• Pearland Regional Home Health, LLC

• Ambulatory Surgical Clinic/Center in Pearland, TX
• Providers in Pearland, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.