Healthcare Provider Details

I. General information

NPI: 1114439031
Provider Name (Legal Business Name): P&H MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9034 SAGE THISTLE TRL
RICHMOND TX
77406-1550
US

IV. Provider business mailing address

9034 SAGE THISTLE TRL
RICHMOND TX
77406-1550
US

V. Phone/Fax

Practice location:
  • Phone: 832-588-8732
  • Fax:
Mailing address:
  • Phone: 832-588-8732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number921708
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP00069945
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberRCP00067146
License Number StateTX

VIII. Authorized Official

Name: PATRICIA K ROLLINS MARTIN
Title or Position: CEO
Credential: BSN, RN
Phone: 832-588-8732