Healthcare Provider Details

I. General information

NPI: 1275827529
Provider Name (Legal Business Name): PEOPLESCHOICE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2011
Last Update Date: 06/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12605 COBBLE SPRINGS DR
PEARLAND TX
77584-6717
US

IV. Provider business mailing address

12329 FONDREN RD BX 165
HOUSTON TX
77035-5201
US

V. Phone/Fax

Practice location:
  • Phone: 832-893-4139
  • Fax:
Mailing address:
  • Phone: 832-893-4139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State

VIII. Authorized Official

Name: BRANDIE ELYSE BROUSSARD
Title or Position: OWNER
Credential:
Phone: 832-893-4139