Healthcare Provider Details

I. General information

NPI: 1780351783
Provider Name (Legal Business Name): PRC HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6660 AIRLINE DR
HOUSTON TX
77076-3512
US

IV. Provider business mailing address

6660 AIRLINE DR
HOUSTON TX
77076-3512
US

V. Phone/Fax

Practice location:
  • Phone: 713-697-8000
  • Fax:
Mailing address:
  • Phone: 713-697-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANNA HERNANDEZ
Title or Position: MANAGER
Credential:
Phone: 713-697-8000