Healthcare Provider Details

I. General information

NPI: 1447801402
Provider Name (Legal Business Name): JOEL GEORGE POHORENCE MSN, APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2480 MARTIN LUTHER KING JR DR
ORANGE TX
77630-1771
US

IV. Provider business mailing address

2480 MARTIN LUTHER KING JR DR
ORANGE TX
77630-1771
US

V. Phone/Fax

Practice location:
  • Phone: 409-291-5532
  • Fax: 409-216-7085
Mailing address:
  • Phone: 409-291-5532
  • Fax: 409-216-7085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License NumberAP143140
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: