Healthcare Provider Details

I. General information

NPI: 1306138771
Provider Name (Legal Business Name): PCDG ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 11/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W SHADOWBEND AVE SUITE 400
FRIENDSWOOD TX
77546-3968
US

IV. Provider business mailing address

150 W SHADOWBEND AVE SUITE 400
FRIENDSWOOD TX
77546-3968
US

V. Phone/Fax

Practice location:
  • Phone: 281-606-4335
  • Fax: 281-606-4337
Mailing address:
  • Phone: 281-606-4335
  • Fax: 281-606-4337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number014278
License Number StateTX

VIII. Authorized Official

Name: MRS. KATHERINE LINDSEY ROSS
Title or Position: PRESIDENT
Credential: RN, MBA
Phone: 281-606-4335