Healthcare Provider Details

I. General information

NPI: 1265210751
Provider Name (Legal Business Name): PECAN HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2023
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20320 NORTHWEST FWY STE 400A
JERSEY VILLAGE TX
77065-5620
US

IV. Provider business mailing address

PO BOX 39077
BELFAST ME
04915-1232
US

V. Phone/Fax

Practice location:
  • Phone: 346-345-2092
  • Fax:
Mailing address:
  • Phone: 346-345-2092
  • Fax: 281-883-4395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1006X
TaxonomyMetabolic Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MARCIAL OQUENDO
Title or Position: OWNER
Credential: MD
Phone: 214-317-5630